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General NPI Number Information
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NPI Number | 1871661348
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Entity Type | Organization
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Legal Business Name | RAMARAO KAZA MD PC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 4160 JOHN R SUITE 809
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone | 313-831-2700
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Fax | 313-831-0430
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Provider Business Mailing Address
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Address Line | 4160 JOHN R SUITE 809
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone | 313-831-2700
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Fax | 313-831-0430
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Authorized Official
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Title or Position | PHYSICIAN PRESIDENT
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Name | RAMARAO KAZA
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Credential | MD
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Telephone | 313-831-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301033043
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License Number State | MI
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