Individual
OSMAN AHMEDTAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(262) 799-8700
Mailing address
PO BOX 1171, ANNANDALE, VA 22003-9171
(646) 236-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264262
VA
208M00000X
Hospitalist Physician
61923
CT
208M00000X
Hospitalist Physician
82020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201784
—
WI
Enumeration date
07/24/2015
Last updated
07/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us