Provider Demographics
NPI:1306051651
Name:RAJEN P. OZA M.D., PC
Entity type:Organization
Organization Name:RAJEN P. OZA M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:OZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-866-0262
Mailing Address - Street 1:2151 EMRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2151 EMRICK BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8039
Practice Address - Country:US
Practice Address - Phone:610-866-0262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1540287Medicaid
PA03269300OtherCAPITAL BLUE CROSS
NJ6729703Medicaid
PA790785OtherHORIZON BCBS
PA1518851OtherGATEWAY
PA0815571000OtherPERSONAL CHOICE
PA524394OtherAETNA
PA9415615005OtherCIGNA
PA03269401OtherCAPITAL ADVANTAGE
PA524394OtherAETNA
PA790785Medicare ID - Type Unspecified
PA1540287Medicaid