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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447250329 | NPPES |
| Arkansas | MEDICAID | 156295001 | |
| Arkansas | MEDICAID | 1548596 |
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