MEDICARE: SAMEER A OZA 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
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	43588	CO
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	E-16687	AR
3	207RC0000X	Cardiovascular Disease Physician	43588	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01074223	OTHER	CO	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770691107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMEER A OZA M.D

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-769-3400
Fax Number	:	479-452-0336

Provider Business Practice Location Address
First Line	:	7001 ROGERS AVE STE 503
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-4073
Country	:	US
Telephone Number	:	479-769-3400
Fax Number	:	479-452-0336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	02/11/2026

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Directions to “ SAMEER A OZA M.D” Practice Location

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