Basic Information
| Provider Information | |||||||||
| NPI: | 1184775991 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARULA | ||||||||
| FirstName: | USMAN | ||||||||
| MiddleName: | AHMAD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1949 GUNBARREL ROAD | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4234954349 | ||||||||
| FaxNumber: | 4234954934 | ||||||||
| Practice Location | |||||||||
| Address1: | 2525 DESALES AVENUE | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4234957404 | ||||||||
| FaxNumber: | 4234952625 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 12/15/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 00025569 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 44115 | TN | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 44115 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 4193779 | 01 | TN | BCBST | OTHER | 051519272 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 3002291 | 05 | TN | MEDICAID | 630307044 | 05 | AL | MEDICAID | 051519274 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 7502686 | 01 | AL | AETNA | OTHER | 051520333 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 051519267 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 051519270 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 051519273 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 5755391 | 01 | AL | CIGNA | OTHER | 669465025A | 05 | GA | MEDICAID |