Provider Demographics
NPI:1740203934
Name:OZA, MEERA RAJSHEKAR (MD)
Entity Type:Individual
Prefix:MRS
First Name:MEERA
Middle Name:RAJSHEKAR
Last Name:OZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 KINGSLEY AVENUE
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073
Mailing Address - Country:US
Mailing Address - Phone:904-276-0001
Mailing Address - Fax:904-276-5333
Practice Address - Street 1:2100 KINGSLEY AVENUE
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-276-0001
Practice Address - Fax:904-276-5333
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47366207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
220003067OtherRRMCARE
FL79976YOtherBCBS
K2167Medicare ID - Type Unspecified
D59003Medicare UPIN