Healthcare Provider Details
I. General information
NPI: 1730189309
Provider Name (Legal Business Name): OZA & OZA MDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2005
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 ELIZABETH PL # 115
DAYTON OH
45417-3445
US
IV. Provider business mailing address
1 ELIZABETH PL STE WP-1010A
DAYTON OH
45417-3445
US
V. Phone/Fax
- Phone: 937-222-3544
- Fax: 937-222-7122
- Phone: 937-222-3544
- Fax: 937-222-7122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SG0600X |
| Taxonomy | Gerontology Clinical Nurse Specialist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SYED
ASHFAQ HUSSAIN
NAJEED
Title or Position: OWNER OF ENTITY
Credential: MD
Phone: 513-702-5799