Organization
LAKSHMI KAZA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI KAZA MD (OWNER)
(248) 865-0030
Entity
Organization
Contact information
Practice address
30055 NORTHWESTERN HWY, SUITE 240, FARMINGTON HILLS, MI 48334-3230
(248) 865-0030
(248) 865-0034
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(248) 865-0030
(248) 865-0034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301037293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028674
MIDWEST HEALTH PLAN
—
01
—
102338
CARE CHOICES
—
01
—
3506355441
BCBSM
MI
01
—
B48527
HEALTH ALLIANCE PLAN
—
Enumeration date
11/21/2007
Last updated
11/21/2007
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