Provider Demographics
NPI:1245123314
Name:KAZMIRA LLC
Entity type:Organization
Organization Name:KAZMIRA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIYANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-603-1668
Mailing Address - Street 1:34501 E QUINCY AVE BLDG 65
Mailing Address - Street 2:
Mailing Address - City:WATKINS
Mailing Address - State:CO
Mailing Address - Zip Code:80137-9305
Mailing Address - Country:US
Mailing Address - Phone:720-577-3811
Mailing Address - Fax:
Practice Address - Street 1:34501 E QUINCY AVE BLDG 65
Practice Address - Street 2:
Practice Address - City:WATKINS
Practice Address - State:CO
Practice Address - Zip Code:80137-9305
Practice Address - Country:US
Practice Address - Phone:720-577-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy