Basic Information
Provider Information
NPI: 1013365402
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OZA
FirstName: ANUJA
MiddleName: UTTAM
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3937 BUTLER ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152013222
CountryCode: US
TelephoneNumber: 4126227343
FaxNumber: 4126218235
Practice Location
Address1: 500 W HOSPITAL RD
Address2:  
City: FRENCH CAMP
State: CA
PostalCode: 952319693
CountryCode: US
TelephoneNumber: 2094686428
FaxNumber: 2094686747
Other Information
ProviderEnumerationDate: 05/26/2016
LastUpdateDate: 09/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XMT210857PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000XA161350CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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