Kaza, Basavapunna R

Kaza, Basavapunna R is an sole proprietor health care provider with primary practice located at 1100 Doctors Dr , Springhill LA 71075-4528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kaza, Basavapunna R can be contacted via phone (318) 539-3809.

Contact Information

Primary practice address
1100 Doctors Dr Springhill LA 71075-4528
Phone: (318) 539-3809
Fax: (318) 539-4189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10941R Louisiana
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 10941R Louisiana

Profile Details

NPI number 1447250329
LBN Legal business name Kaza, Basavapunna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jan 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447250329 NPPES
Arkansas MEDICAID 156295001
Arkansas MEDICAID 1548596

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