Individual
AMITA R OZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 S MAIN ST, STE. 203, DAYTON, OH 45409-2682
(937) 222-0603
(937) 222-7122
Mailing address
1100 S MAIN ST, STE. 203, DAYTON, OH 45409-2682
(937) 222-0603
(937) 222-7122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35051011
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35051011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281451
ANTHEM
OH
05
—
0595904
—
OH
Enumeration date
07/26/2005
Last updated
09/06/2012
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