Provider Demographics
NPI:1538528690
Name:ARAKOZIE, ROXANNA ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:ROXANNA
Middle Name:ELIZABETH
Last Name:ARAKOZIE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5040
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-0040
Mailing Address - Country:US
Mailing Address - Phone:305-900-8984
Mailing Address - Fax:
Practice Address - Street 1:2809 OLIVE HWY STE 260
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6134
Practice Address - Country:US
Practice Address - Phone:530-538-5650
Practice Address - Fax:530-538-5655
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2021-01-20
Deactivation Date:2020-12-11
Deactivation Code:
Reactivation Date:2021-01-13
Provider Licenses
StateLicense IDTaxonomies
CA20A18438207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV00001841210Medicaid