Organization
KAZA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANAKI KAZA (PRESIDENT)
(302) 674-2616
Entity
Organization
Contact information
Practice address
18 OLD RUDNICK LN, DOVER, DE 19901-4912
(302) 674-2616
(302) 883-8020
Mailing address
18 OLD RUDNICK LN, DOVER, DE 19901-4912
(302) 674-2616
(302) 883-8020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C1-0002870
DE
208000000X
Pediatrics Physician
C1-0009783
DE
208000000X
Pediatrics Physician
Primary
C1-0D01490
DE
Other
Enumeration date
01/31/2007
Last updated
12/05/2012
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