Provider Demographics
NPI:1932163797
Name:OZA, MANGESH D (MD)
Entity Type:Individual
Prefix:DR
First Name:MANGESH
Middle Name:D
Last Name:OZA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3251
Mailing Address - Country:US
Mailing Address - Phone:816-691-5287
Mailing Address - Fax:816-346-7690
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 625
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-455-3990
Practice Address - Fax:816-455-5351
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2015-02-03
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Provider Licenses
StateLicense IDTaxonomies
MO2001009178208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO500558507Medicaid
MO500558507Medicaid
MO500558507Medicaid