Organization Active NPI

Lakshmi Kaza MD PC

  • Pediatrics Physician
  • Farmington Hills, MI
National Provider Identifier
1255512943
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301037293 Issued in MI
Legal business name
LAKSHMI KAZA MD PC
Practice address
30055 Northwestern Hwy
Suite 240
Farmington Hills, MI 48334-3230
Phone
(248) 865-0030
Fax
(248) 865-0034
NPI assigned
Nov 21, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lakshmi Kaza, MDNPI 1912997461
Title
Owner
Phone
(248) 865-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301037293 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy
Suite 240
Farmington Hills, MI 48334-3230

Mailing address

PO Box 44047
Detroit, MI 48244-0047
Phone (248) 865-0030

Other identifiers 4

IdentifierTypeStateIssuer
3506355441OtherMIBCBSM
102338OtherCARE CHOICES
028674OtherMIDWEST HEALTH PLAN
B48527OtherHEALTH ALLIANCE PLAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1255512943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440047",
            "telephone_number": "248-865-0030",
            "fax_number": "248-865-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY",
            "address_2": "SUITE 240",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343230",
            "telephone_number": "248-865-0030",
            "fax_number": "248-865-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMI KAZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-865-0030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301037293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "3506355441",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "102338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "028674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "B48527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.