MEDICARE: DR. SARITA KAZA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	231184	NY

General Provider Information

NPI Number	:	1639125370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARITA KAZA M.D.

Provider Business Mailing Address
First Line	:	201 N WASHINGTON ST
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-4518
Country	:	US
Telephone Number	:	703-536-1334
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 N WASHINGTON ST
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-4518
Country	:	US
Telephone Number	:	703-536-1334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/17/2021

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