BASAVAPUNNA R KAZA

SPRINGHILL, LA
NPI1447250329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  10941R)
Additional Taxonomies2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
(Licence: LA  10941R)
Enumeration Date2005-07-21
Last Update Date2010-01-14
Business Address
-- BASAVAPUNNA R KAZA M.D.
1100 DOCTORS DR
SPRINGHILL, LA 71075-4528
Phone number: 318-539-3809
Mailing Address
-- BASAVAPUNNA R KAZA M.D.
PO BOX 158
SPRINGHILL, LA 71075-0158
Phone number: 318-539-3809