Healthcare Provider Details

I. General information

NPI: 1326902610
Provider Name (Legal Business Name): USMAN GHUMMAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 BEDFORD ST STE 14
LEXINGTON MA
02420-4640
US

IV. Provider business mailing address

76 BEDFORD ST STE 14
LEXINGTON MA
02420-4640
US

V. Phone/Fax

Practice location:
  • Phone: 781-579-9434
  • Fax:
Mailing address:
  • Phone: 781-579-9434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. USMAN GHUMMAN
Title or Position: OWNER
Credential: MD, MPH
Phone: 781-579-9434