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General NPI Number Information
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NPI Number | 1184613598
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Entity Type | Individual
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Provider Name | GHAZALA NAHEED USMANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 812 POLLARD RD STE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-1420
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Country | US
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Telephone | 408-374-1212
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Fax | 408-374-4160
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Provider Business Mailing Address
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Address Line | 25993 MAR VISTA CT
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City | LOS GATOS
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State | CA
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Zip | 95033-8026
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Country | US
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Telephone | 781-254-4109
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | A41344
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A41344
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License Number State | CA
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