Provider Demographics
NPI:1699979872
Name:QAZI, SAJID HAFEEZ (DO)
Entity type:Individual
Prefix:DR
First Name:SAJID
Middle Name:HAFEEZ
Last Name:QAZI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 HERITAGE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7828
Mailing Address - Country:US
Mailing Address - Phone:734-330-5822
Mailing Address - Fax:
Practice Address - Street 1:927 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 1
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8373
Practice Address - Country:US
Practice Address - Phone:215-277-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012821208600000X
PAOS014493208600000X
OH34.009375208600000X
FLOS11279208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0M36200Medicare PIN
G46998Medicare UPIN