Mazur, Kai Uwe
Mazur, Kai Uwe is an individual health care provider with primary practice located at 1405 Montgomery Dr , Santa Rosa CA 95405-4557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Mazur, Kai Uwe can be contacted via phone (707) 546-1922.Contact Information
Primary practice address
1405 Montgomery Dr
Santa Rosa CA 95405-4557
Phone: (707) 546-1922
Fax: (707) 546-1987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G72305 | California |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | G72305 | California |
Profile Details
| NPI number | 1558304188 |
|---|---|
| LBN Legal business name | Mazur, Kai Uwe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Sep 17th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558304188 | NPPES |
| California | Other | 00G723050 | CIGNA DME |
| California | Other | G72305 | CIGNA DME |
| California | MEDICAID | 00G723050 | CIGNA DME |
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