Kamil, Mazin Hazim

Kamil, Mazin Hazim is an individual health care provider with primary practice located at 15 Remington Place Ct , Ballwin MO 63021-6369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kamil, Mazin Hazim can be contacted via phone (094) 122-2052.

Contact Information

Primary practice address
15 Remington Place Ct Ballwin MO 63021-6369
Phone: (094) 122-2052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2018042518 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018042518 Missouri

Profile Details

NPI number 1063020626
LBN Legal business name Kamil, Mazin Hazim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated Jul 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063020626 NPPES
Missouri MEDICAID 0000

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