Healthcare Provider Details

I. General information

NPI: 1023490430
Provider Name (Legal Business Name): USMAN SARWAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1969 W HART RD
BELOIT WI
53511-2298
US

IV. Provider business mailing address

1969 W HART RD
BELOIT WI
53511-2298
US

V. Phone/Fax

Practice location:
  • Phone: 608-364-5011
  • Fax:
Mailing address:
  • Phone: 608-364-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT208058
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number40795
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD464244
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2376-320
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: