Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A82546 | CA |
NPI | 1215990304 |
---|---|
Provider Name | Afaq Ahmed Kazi |
First Address | Mckinney, TX 75069-1766 |
Second Address | Mckinney, TX 75069-1766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 22/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I15280 | (02) | CA |