Individual provider · NPI-1

Austin Gahlib Al-Kazaz, MD

Family Medicine · Columbus, OH

NPI number1679803290
StatusActive
Last updated in NPPESJan 25, 2022

Details

NPI
1679803290
Entity type
Individual (NPI-1)
Name
Austin Gahlib Al-Kazaz
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2010
Certification date
Jan 11, 2021
Last updated
Jan 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35.099854OHYes
207Q00000X Family Medicine27524OK

Practice location

7630 Rivers Edge Dr
Columbus, OH 43235-1329

Phone 614-533-4000

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice locations

900 Ne 10th St
Fmc 2102
Oklahoma City, OK 73104-5420

Phone 405-271-2230

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