Provider Demographics
NPI:1184629784
Name:OSMAN, ANN KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:KATHERINE
Last Name:OSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 UPPER CHESAPEAKE DR
Mailing Address - Street 2:STE 211
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4392
Mailing Address - Country:US
Mailing Address - Phone:410-638-9000
Mailing Address - Fax:410-893-5875
Practice Address - Street 1:520 UPPER CHESAPEAKE DR
Practice Address - Street 2:STE 211
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4392
Practice Address - Country:US
Practice Address - Phone:410-638-9000
Practice Address - Fax:410-893-5875
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0036689207R00000X
PAMD040013L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM27416OtherSTATE CDS
MDT5400002OtherCAREFIRST BLUE CHOICE
MDT5400002OtherCAREFIRST BLUE CHOICE
BO0375445OtherFEDERAL DEA
E27512Medicare UPIN