Individual
DR. MARTIN CHIDUBEM OZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
720 W HILL ST, LOUISVILLE, KY 40208-2216
(502) 636-3164
(502) 634-3731
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40367
KY
207Q00000X
Family Medicine Physician
Primary
40367
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507019
ANTHEM - NICC
—
01
—
000000556617
ANTHEM - NLPCC
—
01
—
084017
SIHO - NICC
—
01
—
091199
SIHO - NLPCC
—
01
—
196290FFFF
MEDICARE IN NICC
KY
01
—
200938410
ANTHEM INDIANA MEDICAID- NORTON ICC
IN
01
—
200938410
HEALTHY INDIANA PLAN- NORTON ICC
KY
01
—
3316424000
PAD - NLPCC
—
01
—
50015237
PASSPORT - NLPCC
—
05
—
7100025530
—
KY
01
—
P00434871
RRMCR - NICC
KY
01
—
P00752035
RAILROAD MEDICARE - NLPCC
KY
Enumeration date
12/22/2006
Last updated
03/17/2022
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