Provider Demographics
NPI:1235144197
Name:OZA, MICHELLE E (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:E
Last Name:OZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:E
Other - Last Name:MCKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6701 HIGH DR
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2260
Mailing Address - Country:US
Mailing Address - Phone:816-519-5447
Mailing Address - Fax:816-519-5447
Practice Address - Street 1:6701 HIGH DR
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:KS
Practice Address - Zip Code:66208-2260
Practice Address - Country:US
Practice Address - Phone:816-519-5447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001025887207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOH68937Medicare UPIN
MOC16B992Medicare ID - Type Unspecified