Individual
DR. RAVI KAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAPEL STREET, SAINT RAPHAEL FACULTY PHYSICIANS, NEW HAVEN, CT 06511
(203) 789-4074
(203) 867-5534
Mailing address
PO BOX 1951, SAINT RAPHAEL FACULTY PHYSICIANS, BRATTLEBORO, VT 05302-1951
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042385
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001423855
—
CT
Enumeration date
08/01/2006
Last updated
06/25/2008
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