Provider Demographics
NPI:1265443451
Name:OZA, SALEEM MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:SALEEM
Middle Name:MOHAMMED
Last Name:OZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10000 WHITLEY BAY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3909
Mailing Address - Country:US
Mailing Address - Phone:512-529-0860
Mailing Address - Fax:
Practice Address - Street 1:7000 NORTH MOPAC
Practice Address - Street 2:SUITTE # 420
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-482-0045
Practice Address - Fax:512-476-9892
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5425207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1923070-01Medicaid
TX8K4828Medicare PIN
G83973Medicare UPIN
TXS26680Medicare UPIN