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NPI Code Detail

MEDICARE: DR. TIJANI SHEU AMADU OSUMAH MD

MEDICARE: DR. TIJANI SHEU AMADU OSUMAH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician71976AZ
2208600000XSurgery Physician4351051323MI
3208C00000XColon & Rectal Surgery Physician28449NV
4208600000XSurgery Physician29187MN

General Provider Information

NPI Number : 1215433461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIJANI SHEU AMADU OSUMAH MD
Provider Business Mailing Address
First Line : 8930 W SUNSET RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5013
Country : US
Telephone Number : 702-258-7788
Fax Number :
Provider Business Practice Location Address
First Line : 8930 W SUNSET RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5013
Country : US
Telephone Number : 702-258-7788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 04/14/2026

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