Provider Demographics
NPI:1841585692
Name:PATEL, POOJA OZA (MD)
Entity Type:Individual
Prefix:DR
First Name:POOJA
Middle Name:OZA
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:POOJA
Other - Middle Name:MAHENDRA
Other - Last Name:OZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15 MITCHELL CIR STE 303
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-5928
Mailing Address - Country:US
Mailing Address - Phone:847-361-3602
Mailing Address - Fax:
Practice Address - Street 1:9012 CONNECTICUT ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7057
Practice Address - Country:US
Practice Address - Phone:219-769-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILNA207K00000X, 2080P0201X
IN01084982A207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology