Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Baseeruddin Ahmed Qazi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619610441

Baseeruddin Ahmed Qazi is a Psychiatry in Lutz, Florida. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
4
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

21808 State Road 54
Lutz, FL 33549-6923
Phone: (727) 315-8612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS20266 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1619610441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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