Healthcare Provider Details

I. General information

NPI: 1245548841
Provider Name (Legal Business Name): USMAN GHANI PIRACHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 GARRETT AVE
LA PLATA MD
20646-5960
US

IV. Provider business mailing address

5 GARRETT AVE
LA PLATA MD
20646-5960
US

V. Phone/Fax

Practice location:
  • Phone: 301-609-4539
  • Fax: 301-609-4539
Mailing address:
  • Phone: 301-609-4539
  • Fax: 301-609-4139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0104080
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101261394
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: