Provider Demographics
NPI:1801961701
Name:KAZA, JANAKI BABY (MD)
Entity type:Individual
Prefix:DR
First Name:JANAKI
Middle Name:BABY
Last Name:KAZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 OLD RUDNICK LANE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901
Mailing Address - Country:US
Mailing Address - Phone:302-674-2616
Mailing Address - Fax:302-883-8020
Practice Address - Street 1:18 OLD RUDNICK LANE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901
Practice Address - Country:US
Practice Address - Phone:302-674-2616
Practice Address - Fax:302-883-8020
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0D01490208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
0073383000OtherAMERIHEALTH
DE0000184001Medicaid
25941OtherCOVENTRY HEALTH CARE
0073383000OtherAMERIHEALTH
25941OtherCOVENTRY HEALTH CARE
DE0000184001Medicaid