Provider Demographics
NPI:1114449261
Name:GHANI, MUHAMMAD USMAN (MD)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD USMAN
Middle Name:
Last Name:GHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-746-7500
Mailing Address - Fax:989-746-7727
Practice Address - Street 1:1000 HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-746-7500
Practice Address - Fax:989-746-7727
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2020-11-24
Deactivation Date:2018-02-12
Deactivation Code:
Reactivation Date:2018-03-12
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4301503403207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program