Individual
DR. USMAN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
02004874A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001027036
ANTHEM PROVIDER NUMBER
IN
05
—
201370960
—
IN
Enumeration date
07/01/2013
Last updated
01/25/2021
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