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Organization

OZA ONCOLOGY INC.

Active
Other names
Yagnesh V. Oza M.D. S.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YAGNESH V OZA M.D. (PRESIDENT)
(618) 244-6500
Entity
Organization

Contact information

Practice address
4117 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 244-6500
(618) 244-6422
Mailing address
PO BOX 948, 4117 VETERANS MEMORIAL DR., MOUNT VERNON, IL 62864-0020
(618) 244-6500
(618) 244-6422

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2085R0001X
Radiation Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04132039
BLUE CROSS BLUE SHIELD
IL
01
212702
MEDICARE PTAN
IL
Enumeration date
05/19/2006
Last updated
11/04/2015
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