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1598786436

NPI Code Detail

MEDICARE: HARSHA KAZA MD

MEDICARE: HARSHA KAZA MD

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	207R00000X	Internal Medicine Physician	46268	WI
2	207R00000X	Internal Medicine Physician	036-110833	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00151657	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13561	OTHER		DEAN HEALTH PLAN
2	1043509	OTHER		PHYSICIANS PLUS
3	390808509	OTHER		CIGNA
4	90002361	OTHER		WEA INS
5	390808509	OTHER		WPS
6	390808509	OTHER		CT GENERAL
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	34466000	OTHER		HIRSP
10	390808509CW	OTHER		UNITY

General Provider Information

NPI Number	:	1598786436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARSHA KAZA MD

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 LEWIS AVE
Second Line	:
City	:	ZION
State	:	IL
Zip	:	60099-3099
Country	:	US
Telephone Number	:	847-746-3752
Fax Number	:

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

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	01/13/2026

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Directions to “ HARSHA KAZA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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