# USMAAN SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609517812
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | P24-00841 | NJ | — |
| 208D00000X | General Practice Physician | DO.OP.61517032 | WA | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 08/24/2024