Provider Demographics
NPI:1629235700
Name:USMANI, ABDUL BASIT (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:BASIT
Last Name:USMANI
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 1:1655 BERNARDIN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2039
Mailing Address - Country:US
Mailing Address - Phone:803-256-1137
Mailing Address - Fax:803-256-1138
Practice Address - Street 1:1655 BERNADIN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204
Practice Address - Country:US
Practice Address - Phone:803-256-1137
Practice Address - Fax:803-256-1138
Is Sole Proprietor?:No
Enumeration Date:2008-05-17
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35091282207RN0300X
SC31997207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology