Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35044276 | OH |
Y | 111NI0900X | Internist | 35044276 | OH |
N | 207RG0300X | Geriatric Medicine | 35044276 | OH |
NPI | 1003816687 |
---|---|
Provider Name | Ratnam A Oza |
First Address | Dayton, OH 45409-2682 |
Second Address | Dayton, OH 45409-2682 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 16/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000281449 | ANTHEM (01) | OH |
0498304 | (05) | OH |
C02300 | (02) |