Healthcare Provider Details

I. General information

NPI: 1932540960
Provider Name (Legal Business Name): USMAN I SALAHUDDIN M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 12TH ST
MERIDIAN MS
39301-4190
US

IV. Provider business mailing address

1800 12TH ST
MERIDIAN MS
39301-4190
US

V. Phone/Fax

Practice location:
  • Phone: 601-703-4531
  • Fax: 601-703-3047
Mailing address:
  • Phone: 601-703-4531
  • Fax: 601-703-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberW4593
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number27555
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: