Basic Information
Provider Information
NPI: 1013968817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: USMANI
FirstName: ALI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 103 MCKNIGHT DR
Address2: SUITE A
City: MIDDLETOWN
State: OH
PostalCode: 450444890
CountryCode: US
TelephoneNumber: 5132176400
FaxNumber: 5132176037
Practice Location
Address1: 103 MCKNIGHT DR
Address2: SUITE A
City: MIDDLETOWN
State: OH
PostalCode: 450444890
CountryCode: US
TelephoneNumber: 5132176400
FaxNumber: 5132176037
Other Information
ProviderEnumerationDate: 05/15/2006
LastUpdateDate: 05/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X35086083OHN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X35086083OHY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207R00000X35086083OHN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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