Provider Demographics
NPI:1770691107
Name:OZA, SAMEER A (MD)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:A
Last Name:OZA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-442-2395
Mailing Address - Fax:303-442-1073
Practice Address - Street 1:4743 ARAPAHOE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1113
Practice Address - Country:US
Practice Address - Phone:303-442-2395
Practice Address - Fax:303-442-1073
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2018-10-24
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Provider Licenses
StateLicense IDTaxonomies
CO43588207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP01074223OtherMEDICARE RAILROAD
CO96705035Medicaid
COCOAAA0088Medicare PIN
COI07740Medicare UPIN