Individual
MR. ALEXANDER S BOZANICH
Active
Individual
MR. ALEXANDER S BOZANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01047404A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01047404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000544215
BCBS IN
IN
01
—
0090001354
BCBS IL
IL
05
—
200158760
—
IN
01
—
P00466655
MEDICAR RR PTAN
IN
Enumeration date
01/27/2006
Last updated
07/21/2022
Update your record
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