Provider Demographics
NPI:1902175789
Name:OZ HOSPITAL CARE, LLC
Entity Type:Organization
Organization Name:OZ HOSPITAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:614-596-9697
Mailing Address - Street 1:24230 18TH PL W
Mailing Address - Street 2:OZ HOSPITAL CARE, LLC, C/O ABDULLAH OZ
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021
Mailing Address - Country:US
Mailing Address - Phone:425-286-6494
Mailing Address - Fax:425-286-6494
Practice Address - Street 1:10631 8TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7213
Practice Address - Country:US
Practice Address - Phone:425-286-6494
Practice Address - Fax:425-286-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60162698208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649258070OtherPREVIOUSLY ASSIGNED NPI # (NOT GROUP NPI)