Provider Demographics
NPI:1639255359
Name:SOZER, SADRI OZAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SADRI
Middle Name:OZAN
Last Name:SOZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 MEDICAL CENTER ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5002
Mailing Address - Country:US
Mailing Address - Phone:915-351-1116
Mailing Address - Fax:915-351-8790
Practice Address - Street 1:1600 MEDICAL CENTER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5002
Practice Address - Country:US
Practice Address - Phone:915-351-1116
Practice Address - Fax:915-351-8790
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8782174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0011BSOtherBLUE CROSS/BLUE SHIELD
TX8845NOOtherGROUP #
TX8845NOOtherGROUP #
TX0011BSOtherBLUE CROSS/BLUE SHIELD