Provider Demographics
NPI:1518916196
Name:OSMAN, MAGDA G (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDA
Middle Name:G
Last Name:OSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5782
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:
Practice Address - Street 1:295 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8216
Practice Address - Country:US
Practice Address - Phone:716-630-1150
Practice Address - Fax:716-630-1265
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239349207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00027636901OtherUNIVERA
NY02771424Medicaid
NY161000580OtherEMPIRE
NY161000580OtherMERITAIN
NY0713243OtherINDEPENDENT HEALTH
NY000528543001OtherHEALTH NOW
NY060824000011OtherFIDELIS
NY161000580OtherNOVA
NY161000580OtherMERITAIN