Individual
USAMA BUKHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4325
(217) 348-4290
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-149186
IL
208M00000X
Hospitalist Physician
Primary
036-149186
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
09/27/2024
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