Individual
AHSAN USMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35088242
OH
207RN0300X
Nephrology Physician
036-121212
IL
208M00000X
Hospitalist Physician
Primary
036-121212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215016571
—
MO
05
—
2703828
—
OH
05
—
3810007764
—
WV
Enumeration date
11/06/2006
Last updated
03/29/2021
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