Provider Demographics
NPI:1366604936
Name:OZA, SANDRA KAMHOLZ (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:KAMHOLZ
Last Name:OZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SANDRA
Other - Middle Name:HARRIET
Other - Last Name:KAMHOLZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1545 DIVISADERO ST
Mailing Address - Street 2:ROOM 322
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3425
Mailing Address - Country:US
Mailing Address - Phone:415-514-8655
Mailing Address - Fax:
Practice Address - Street 1:1545 DIVISADERO ST
Practice Address - Street 2:ROOM 322
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3425
Practice Address - Country:US
Practice Address - Phone:415-514-8655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT192547207R00000X
CAA116743207R00000X
PAMD440656207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine