Healthcare Provider Details

I. General information

NPI: 1316207277
Provider Name (Legal Business Name): AMAR OZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK NY
14127-1231
US

IV. Provider business mailing address

3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK NY
14127-1231
US

V. Phone/Fax

Practice location:
  • Phone: 716-675-2500
  • Fax:
Mailing address:
  • Phone: 716-675-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLP02560
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number261432
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number292646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: