Basic Information
Provider Information
NPI: 1023371689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: USMAN
FirstName: UZMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 HOWARD AVE
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 065191369
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 800 HOWARD AVE
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 06519
CountryCode: US
TelephoneNumber: 9999999999
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2012
LastUpdateDate: 08/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0008X61852CTY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine

No ID Information.


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