Provider Demographics
NPI:1417118647
Name:BOZADA, KATRINA ANGELA (MD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:ANGELA
Last Name:BOZADA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3621 SOUTH STATE STREET
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DRIVE
Practice Address - Street 2:9TH FLOOR UNIVERSITY HOSPITAL RECP D
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5118
Practice Address - Country:US
Practice Address - Phone:734-936-9760
Practice Address - Fax:734-232-0520
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2012-08-27
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Provider Licenses
StateLicense IDTaxonomies
MI43010918972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry