Dr Adilakshmi Kaza MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

54378-20 Issued in WI

Legal business name

DR ADILAKSHMI KAZA MD LLC

Practice address

6127 Green Bay Rd
Suite 200a
Kenosha, WI 53142-2946

Phone

(262) 945-4611

Fax

(262) 654-9333

NPI assigned

Jan 6, 2012

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adilakshmi Kaza, MD

Title

President/Owner

Phone

(262) 945-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1427328590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 W SCHROEDER DR",
            "address_2": "SUITE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231496",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 GREEN BAY RD",
            "address_2": "SUITE 200A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422946",
            "telephone_number": "262-945-4611",
            "fax_number": "262-654-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ADILAKSHMI KAZA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "ADILAKSHMI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-945-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "54378-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.