Basic Information
| Provider Information | |||||||||
| NPI: | 1487882635 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSMAN | ||||||||
| FirstName: | UMAR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8000 5 MILE RD STE 205 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452302190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132336480 | ||||||||
| FaxNumber: | 5132336481 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 E COUNTY LINE RD STE 101 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461431070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178852860 | ||||||||
| FaxNumber: | 3178852869 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2009 | ||||||||
| LastUpdateDate: | 12/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 01086758A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 01086758A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 01086758A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 3810029040 | 05 | WV | MEDICAID | 0127478 | 05 | OH | MEDICAID | 300017173 | 05 | IN | MEDICAID |