MEDICARE: USMAN AHMAD DO

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
1	207RC0000X	Cardiovascular Disease Physician	OS22504	FL
2	208M00000X	Hospitalist Physician	OS22504	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669035051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	USMAN AHMAD DO

Provider Business Mailing Address
First Line	:	3701 MIDTOWN DR APT 3502
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4850
Country	:	US
Telephone Number	:	813-724-4460
Fax Number	:

Provider Business Practice Location Address
First Line	:	3704 W EUCLID AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8725
Country	:	US
Telephone Number	:	813-870-1741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2019
Last Update Date	:	04/03/2026

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