Individual
NIDA USMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER, TUCKER, GA 30084-7047
(305) 585-3215
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
077218
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN 14127
FL
Other
Enumeration date
09/03/2009
Last updated
01/10/2022
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