Individual
USMAN AHMAD TAHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DRIVE, SUITE 2100, INDIANAPOLIS, IN 46256-0020
(317) 621-5676
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
07072966A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01247192
MEDICARE RR
IN
Enumeration date
05/19/2008
Last updated
12/05/2014
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