Provider Demographics
NPI:1053337717
Name:KAZA, SUNIL C (MD)
Entity type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:C
Last Name:KAZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5651 FRIST BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2058
Mailing Address - Country:US
Mailing Address - Phone:615-889-1968
Mailing Address - Fax:615-889-8527
Practice Address - Street 1:5651 FRIST BLVD STE 603
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2079
Practice Address - Country:US
Practice Address - Phone:615-889-1968
Practice Address - Fax:615-889-8527
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD34956207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3864521Medicaid
TN3864521Medicaid
TNH40482Medicare UPIN