Healthcare Provider Details

I. General information

NPI: 1356387823
Provider Name (Legal Business Name): USMAN C. RAMZAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 CHURCH ST STE 200
MIDDLETOWN CT
06457-3658
US

IV. Provider business mailing address

85 CHURCH ST STE 200
MIDDLETOWN CT
06457-3658
US

V. Phone/Fax

Practice location:
  • Phone: 860-956-6303
  • Fax: 860-955-1837
Mailing address:
  • Phone: 860-956-6303
  • Fax: 860-955-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number044658
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: