Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.094647 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35.094647 | OH |
NPI | 1396953956 |
---|---|
Provider Name | Amish S Oza |
First Address | Marion, OH 43302-7457 |
Second Address | Marion, OH 43302-7457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 12/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3005705 | (05) | OH |