Individual
AHSAN IMRAN USMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 HIGHLAND RD STE 1, RICHMOND, IN 47374-8810
(765) 935-8866
(765) 935-8865
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.087875
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
01068862A
IN
208VP0014X
Interventional Pain Medicine Physician
35.087875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2694982
—
OH
05
—
300032003
—
IN
01
—
503223
ANTHEM BCBS
OH
01
—
7907789
AETNA
—
Enumeration date
09/07/2005
Last updated
01/20/2022
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