Individual
MARIAH ROSE OZKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR RM 5867, INDIANAPOLIS, IN 46202-5109
(317) 944-4034
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
01090951A
IN
2084N0400X
Neurology Physician
Primary
01090951A
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
01090951A
IN
2084N0600X
Clinical Neurophysiology Physician
01090951A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104175769
ANTHEM PTAN
IN
05
—
300089912
—
IN
Enumeration date
04/11/2018
Last updated
03/15/2025
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