Provider Demographics
NPI:1215990304
Name:KAZI, AFAQ AHMED (MD)
Entity type:Individual
Prefix:
First Name:AFAQ
Middle Name:AHMED
Last Name:KAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1766
Mailing Address - Country:US
Mailing Address - Phone:469-714-0617
Mailing Address - Fax:469-714-0618
Practice Address - Street 1:4201 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 260
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1766
Practice Address - Country:US
Practice Address - Phone:469-714-0617
Practice Address - Fax:469-714-0618
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA825462081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI15280Medicare UPIN
CAOOA82546Medicare ID - Type Unspecified