Provider Demographics
NPI:1114331196
Name:USMAN, OMAR ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:ALI
Last Name:USMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40764 COACHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-3280
Mailing Address - Country:US
Mailing Address - Phone:248-767-9656
Mailing Address - Fax:833-352-0424
Practice Address - Street 1:200 KANSAS ST STE 205
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5146
Practice Address - Country:US
Practice Address - Phone:415-689-3018
Practice Address - Fax:833-352-0424
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2023-06-29
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Provider Licenses
StateLicense IDTaxonomies
MI4301505472207P00000X, 2083C0008X, 208D00000X
CA149253207P00000X, 2083C0008X, 208D00000X
VA01012779352083C0008X, 208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice