Shaze Medical Group Llc

LBN: Shaze Medical Group Llc
Shaze Medical Group Llc is an health care organization with primary practice located at 1035 Wall Street Ste 104-C1 , Jeffersonville IN 47130-3602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Shaze Medical Group Llc can be contacted via phone (812) 282-2218, or through Kazmi, Syed Q via phone (812) 282-2218.

Contact Information

Primary practice address
1035 Wall Street Ste 104-C1 Jeffersonville IN 47130-3602
Phone: (812) 282-2218
Fax: (812) 282-2252
Website:
Map and Directions
Authorized official contact:
Name: Kazmi, Syed Q Doctor of Medicine (MD)
Phone: (812) 282-2218

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1245797208
LBN Legal business name Shaze Medical Group Llc
DBA Doing business as
Authorized official Kazmi, Syed Q Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2019
Last updated Aug 15th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245797208 NPPES
Indiana MEDICAID 300023539

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