Provider Demographics
NPI:1306083936
Name:KAZA, GOPAL K (MD)
Entity type:Individual
Prefix:
First Name:GOPAL
Middle Name:K
Last Name:KAZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 RICE MINE RD N
Mailing Address - Street 2:SUITE E
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-0839
Mailing Address - Country:US
Mailing Address - Phone:205-345-0010
Mailing Address - Fax:205-752-1175
Practice Address - Street 1:100 RICE MINE RD N
Practice Address - Street 2:SUITE E
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-0839
Practice Address - Country:US
Practice Address - Phone:205-345-0010
Practice Address - Fax:205-752-1175
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2016-03-23
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Provider Licenses
StateLicense IDTaxonomies
ALMD.33843207R00000X, 207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology