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NPI Code Detail

MEDICARE: AMIR USMAN MD

MEDICARE: AMIR USMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician042752GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255333456
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIR USMAN MD
Provider Business Mailing Address
First Line : 1602 VERNON RD
Second Line : STE 400
City : LAGRANGE
State : GA
Zip : 30240-4100
Country : US
Telephone Number : 706-882-9341
Fax Number : 706-884-0131
Provider Business Practice Location Address
First Line : 1602 VERNON RD
Second Line : STE 400
City : LAGRANGE
State : GA
Zip : 30240-4100
Country : US
Telephone Number : 706-882-9341
Fax Number : 706-884-0131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/15/2024

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Directions to “ AMIR USMAN MD” Practice Location

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