Provider Demographics
NPI:1972356483
Name:QAZI, ASHKAAR (MD)
Entity type:Individual
Prefix:
First Name:ASHKAAR
Middle Name:
Last Name:QAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21808 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-6923
Mailing Address - Country:US
Mailing Address - Phone:813-922-8621
Mailing Address - Fax:845-333-7342
Practice Address - Street 1:21808 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-6923
Practice Address - Country:US
Practice Address - Phone:813-922-8621
Practice Address - Fax:845-333-7342
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program