Organization
SUDHEER KAZA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHEER KAZA M.D. (PRESIDENT)
(409) 835-5005
Entity
Organization
Contact information
Practice address
3560 DELAWARE ST, SUITE 905, BEAUMONT, TX 77706-3067
(409) 835-5005
(409) 835-4101
Mailing address
3560 DELAWARE ST, SUITE 905, BEAUMONT, TX 77706-3067
(409) 835-5005
(409) 835-4101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H9656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123511102
—
TX
Enumeration date
10/15/2010
Last updated
10/15/2010
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