Healthcare Provider Details

I. General information

NPI: 1801442207
Provider Name (Legal Business Name): RISHAD USMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE, W/SPAN 2
BOSTON MA
02215
US

IV. Provider business mailing address

BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVE, W/SPAN 2
BOSTON MA
02215
US

V. Phone/Fax

Practice location:
  • Phone: 617-032-0361
  • Fax: 617-632-0215
Mailing address:
  • Phone: 617-032-0361
  • Fax: 617-632-0215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: