Provider Demographics
NPI:1760746127
Name:OSMANI, BUSHRA ZAFAR (MD)
Entity Type:Individual
Prefix:
First Name:BUSHRA
Middle Name:ZAFAR
Last Name:OSMANI
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 1:854 W JAMES M CAMPBELL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4792
Mailing Address - Country:US
Mailing Address - Phone:931-490-7050
Mailing Address - Fax:931-490-7051
Practice Address - Street 1:854 W JAMES M CAMPBELL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4792
Practice Address - Country:US
Practice Address - Phone:931-490-7050
Practice Address - Fax:931-490-7051
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.061176207R00000X
WI69994207RE0101X
TN62157207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ069196Medicaid
WI1760746127Medicaid