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Organization

RAMARAO KAZA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMARAO KAZA MD (PHYSICIAN PRESIDENT)
(313) 831-2700
Entity
Organization

Contact information

Practice address
4160 JOHN R, SUITE 809, DETROIT, MI 48201
(313) 831-2700
(313) 831-0430
Mailing address
4160 JOHN R, SUITE 809, DETROIT, MI 48201
(313) 831-2700
(313) 831-0430

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301033043
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0829132
BLUE CROSS
MI
05
1092590
MI
Enumeration date
12/01/2006
Last updated
06/23/2010
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