| Shaze Medical Group Llc | |
|
1035 Wall Street Ste 104-c1 Jeffersonville IN 47130-3602 | |
| (812) 282-2218 | |
| (812) 282-2252 |
| Full Name | Shaze Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1035 Wall Street Ste 104-c1, Jeffersonville, Indiana |
| Authorized Official Name and Position | Syed Q Kazmi (PRESIDENT) |
| Authorized Official Contact | 8122822218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaze Medical Group Llc 1035 Wall Street Ste 104-c1 Jeffersonville IN 47130-3602 Ph: (812) 282-2218 | Shaze Medical Group Llc 1035 Wall Street Ste 104-c1 Jeffersonville IN 47130-3602 Ph: (812) 282-2218 |
| NPI Number | 1245797208 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 08/15/2019 |
| Medicare PECOS PAC ID | 7113267212 |
|---|---|
| Medicare Enrollment ID | O20190328000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245797208 | NPI | - | NPPES |
| 300023539 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed Q Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487619888 PECOS PAC ID: 2567367790 Enrollment ID: I20040326000022 |
Physician's Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 E 10th St, Jeffersonville, IN 47130 Phone: 812-288-2488 Fax: 812-288-6603 | |
Crossover Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Patrol Rd, Jeffersonville, IN 47130 Phone: 949-891-0328 | |
Jeffersonville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Wall St, Suite 204, Jeffersonville, IN 47130 Phone: 812-288-8410 Fax: 812-288-8409 | |
Viverant Integrative Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 335 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-255-1699 | |
Clark County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Wall Street, Jeffersonville, IN 47130 Phone: 812-282-7521 Fax: 812-288-2711 | |
Havens Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Sparks Avenue, Suite 200, Jeffersonville, IN 47130 Phone: 812-283-4441 Fax: 812-288-2605 |