# RAMARAO KAZA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871661348
- **Authorized official:** RAMARAO KAZA MD (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (313) 831-2700

## Contact information

- **Practice address:** 4160 JOHN R, SUITE 809, DETROIT, MI 48201
- **Practice address phone:** (313) 831-2700
- **Practice address fax:** (313) 831-0430
- **Mailing address:** 4160 JOHN R, SUITE 809, DETROIT, MI 48201
- **Mailing address phone:** (313) 831-2700
- **Mailing address fax:** (313) 831-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301033043 | MI | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 06/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0829132 | BLUE CROSS | MI |
| 05 | — | 1092590 | — | MI |