Healthcare Provider Details

I. General information

NPI: 1770691107
Provider Name (Legal Business Name): SAMEER A OZA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROGERS AVE STE 503
FORT SMITH AR
72903-4073
US

IV. Provider business mailing address

PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 479-769-3400
  • Fax: 479-452-0336
Mailing address:
  • Phone: 479-769-3400
  • Fax: 479-452-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number43588
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number43588
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberE-16687
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: