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NPI Code Detail

MEDICARE: LINDA S OZAKI M.D.

MEDICARE: LINDA S OZAKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician23256IA
2208000000XPediatrics Physician036-065503IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1421060724OTHERIABILLING TAX ID# FOR CHC
2065338OTHERHEALTH ALLIANCE #
38122859OTHERILILLINOIS BC/BS
4IA0103OTHERIAJOHN DEERE EDI#
51221635OTHERIACONTROLLED SUBSTANCE#
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7201152OTHERIAIOWA BC/BS
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
942106072403OTHERIAJOHN DEERE HEALTH

General Provider Information

NPI Number : 1053305003
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA S OZAKI M.D.
Provider Business Mailing Address
First Line : 500 W RIVER DR
Second Line :
City : DAVENPORT
State : IA
Zip : 52801-1014
Country : US
Telephone Number : 563-336-3000
Fax Number : 563-336-3125
Provider Business Practice Location Address
First Line : 500 W RIVER DR
Second Line :
City : DAVENPORT
State : IA
Zip : 52801-1014
Country : US
Telephone Number : 563-336-3000
Fax Number : 563-336-3125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 03/07/2023

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Directions to “ LINDA S OZAKI M.D.” Practice Location

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