Provider Demographics
NPI:1639716384
Name:LASHARI, USMAN GHANI (MD MBA FAAD)
Entity Type:Individual
Prefix:DR
First Name:USMAN
Middle Name:GHANI
Last Name:LASHARI
Suffix:
Gender:M
Credentials:MD MBA FAAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 JOHN H CHAFEE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-1034
Mailing Address - Country:US
Mailing Address - Phone:401-848-2160
Mailing Address - Fax:
Practice Address - Street 1:6 JOHN H CHAFEE BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-1034
Practice Address - Country:US
Practice Address - Phone:401-848-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD16860207N00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty