Provider Demographics
NPI:1447297957
Name:OZA, MAHAVIR (DC)
Entity type:Individual
Prefix:DR
First Name:MAHAVIR
Middle Name:
Last Name:OZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W HURON ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1607
Mailing Address - Country:US
Mailing Address - Phone:248-334-5500
Mailing Address - Fax:248-338-0500
Practice Address - Street 1:530 W HURON ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1607
Practice Address - Country:US
Practice Address - Phone:248-334-5500
Practice Address - Fax:248-338-0500
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMO004919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383622241OtherPPOM
MI125553OtherGREAT LAKES HEALTH PLAN
MI199295OtherTOTAL HEALTH CARE
MI950F354820OtherBLUE CARE NETWORK
MI19155OtherHEALTH PLAN OF MICHIGAN
MINP011970OtherMCARE
MI950F354820OtherBLUE CROSS BLUE SHIELD MI
MI4346775Medicaid
MI125553OtherGREAT LAKES HEALTH PLAN