Basic Information
| Provider Information | |||||||||
| NPI: | 1215184379 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAZA | ||||||||
| FirstName: | ASHA | ||||||||
| MiddleName: | RANI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2215 FULLER ROAD | ||||||||
| Address2: | VA ANN ARBOR HEALTHCARE SYSTEM | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7347697100 | ||||||||
| FaxNumber: | 7348453503 | ||||||||
| Practice Location | |||||||||
| Address1: | 2215 FULLER RD. | ||||||||
| Address2: | VA ANN ARBOR HEALTHCARE SYSTEM | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7347697100 | ||||||||
| FaxNumber: | 7348453503 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2008 | ||||||||
| LastUpdateDate: | 09/09/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085N0700X | 4301036985 | MI | Y | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology |
No ID Information.