Provider Demographics
NPI:1215184379
Name:KAZA, ASHA RANI (MD)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:RANI
Last Name:KAZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2215 FULLER ROAD
Mailing Address - Street 2:VA ANN ARBOR HEALTHCARE SYSTEM
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-769-7100
Mailing Address - Fax:734-845-3503
Practice Address - Street 1:2215 FULLER RD.
Practice Address - Street 2:VA ANN ARBOR HEALTHCARE SYSTEM
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:734-769-7100
Practice Address - Fax:734-845-3503
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010369852085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology