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Provider Information for 1891832150

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ADITYA K KAZA MD

Gender: MALE

Individual NPI: 1891832150

Calendar   Last Updated:  2014-11-03
  Certification Date: 

Details

Name Value
NPI 1891832150
Enumeration Date 2007-01-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE BADER 273 DEPARTMENT OF CARDIAC SURGERY
BOSTON, MA 02115
United States

Phone: 617-355-7932 | Fax: 617-730-0214
View Map External Link
Primary Practice Address 300 LONGWOOD AVE BADER 273 DEPARTMENT OF CARDIAC SURGERY
BOSTON, MA 02115
United States

Phone: 617-355-7932 | Fax: 617-730-0214
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other MEDICAL LICENSE UT 6981309-1205
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) MA 257290
No 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) CO 41481
No 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) UT 6981309-1205