# KAAYA MEDICINE

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

## Provider details

- **NPI number:** 1912161266
- **Authorized official:** DR. KANAN GUTGUTIA MD (OWNER)
- **Authorized official phone:** (262) 784-5976

## Contact information

- **Practice address:** 14840 JUEAU BLVD, ELM GROVE, WI 53122
- **Practice address phone:** (262) 784-5976
- **Mailing address:** 14840 JUEAU BLVD, ELM GROVE, WI 53122
- **Mailing address phone:** (262) 784-5976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 41670-020 | WI | Yes |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 07/16/2008