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Contact Information

THANMAYI KAZA, MD
2600 S HERITAGE WOODS DR
APPLETON, WI54915-1408
 Phone: 920-225-7875
 Fax: 920-993-5003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for THANMAYI KAZA · (Female)

NPI # 1053842492
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2017
Last updated 12/29/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 75570
Hospital affiliation(s)
  • SHAWANO MED CTR - (Critical Access)
    309 N BARTLETTE ST
    SHAWANO, WI 54166
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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