Provider Demographics
NPI:1235232497
Name:KAZA, CHATARGY S (MD)
Entity Type:Individual
Prefix:
First Name:CHATARGY
Middle Name:S
Last Name:KAZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 ROSEBERRY ST
Mailing Address - Street 2:FARLEY BLDG., 2ND FLOOR
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-847-8484
Mailing Address - Fax:866-289-8937
Practice Address - Street 1:755 MEMORIAL PKWY STE 102
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-847-8484
Practice Address - Fax:866-289-8937
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419080207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00283008OtherRAILROAD MEDICARE
H64191Medicare UPIN
NJ076232Medicare PIN
PA075464Medicare PIN