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Contact Information

BASAVAPUNNA R KAZA, MD
1100 DOCTORS DR
SPRINGHILL, LA71075-4528
 Phone: 318-539-3809
 Fax: 318-539-4189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BASAVAPUNNA R KAZA · (Male)

NPI # 1447250329
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 01/14/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 10941R
  • AR Medicaid 156295001
  • LA Medicaid 1548596
Hospital affiliation(s) Not Available
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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