Individual provider · NPI-1

Martin A Bazi, MD

Pediatrics, Pediatric Emergency Medicine · Oklahoma City, OK

NPI number1265582290
StatusActive
Last updated in NPPESJul 4, 2025

Details

NPI
1265582290
Entity type
Individual (NPI-1)
Name
Martin A Bazi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 11, 2007
Certification date
Jul 4, 2025
Last updated
Jul 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency Medicine43929OKYes
207PP0204X Emergency Medicine, Pediatric Emergency MedicineV0918TX
2080P0204X Pediatrics, Pediatric Emergency Medicine036094372IL

Practice location

1200 Childrens Ave
Oklahoma City, OK 73104-4637

Phone 405-271-2429 · Fax 405-271-2421

Mailing address

5841 S Maryland Ave # Mc1099
Chicago, IL 60637-1447

Other practice locations

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Phone 773-834-4064

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