Provider Demographics
NPI:1427216845
Name:OSMANI, MOHAMMAD AHSAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:AHSAN
Last Name:OSMANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCHAGHTICOKE
Mailing Address - State:NY
Mailing Address - Zip Code:12154-2733
Mailing Address - Country:US
Mailing Address - Phone:518-753-0149
Mailing Address - Fax:518-753-9812
Practice Address - Street 1:4 MAIN ST
Practice Address - Street 2:
Practice Address - City:SCHAGHTICOKE
Practice Address - State:NY
Practice Address - Zip Code:12154-2733
Practice Address - Country:US
Practice Address - Phone:518-753-0149
Practice Address - Fax:518-753-9812
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045928183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist