Basic Information
| Provider Information | |||||||||
| NPI: | 1932540960 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALAHUDDIN | ||||||||
| FirstName: | USMAN | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | M.B.B.S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 12TH ST | ||||||||
| Address2: | |||||||||
| City: | MERIDIAN | ||||||||
| State: | MS | ||||||||
| PostalCode: | 393014190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6017034531 | ||||||||
| FaxNumber: | 6017033047 | ||||||||
| Practice Location | |||||||||
| Address1: | 1800 12TH ST | ||||||||
| Address2: | |||||||||
| City: | MERIDIAN | ||||||||
| State: | MS | ||||||||
| PostalCode: | 393014190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6017034531 | ||||||||
| FaxNumber: | 6017033047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2013 | ||||||||
| LastUpdateDate: | 06/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | BP10047498 | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RC0000X | 27555 | MS | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.