Provider Demographics
NPI:1205031317
Name:KAJA, VEERA APARANJI (DMD)
Entity Type:Individual
Prefix:
First Name:VEERA
Middle Name:APARANJI
Last Name:KAJA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 W LAFAYETTE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62650-3711
Mailing Address - Country:US
Mailing Address - Phone:217-243-4032
Mailing Address - Fax:217-718-3469
Practice Address - Street 1:1614 W LAFAYETTE AVE STE 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:IL
Practice Address - Zip Code:62650-3711
Practice Address - Country:US
Practice Address - Phone:217-243-4032
Practice Address - Fax:217-718-3469
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190301011223G0001X
OK62391223G0001X
TX243591223G0001X
IA086181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice