Provider Demographics
NPI:1821062803
Name:OSMAN, MICHAEL H (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:OSMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE # 300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:21351 RIDGETOP CIR
Practice Address - Street 2:SUITE # 140
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6561
Practice Address - Country:US
Practice Address - Phone:703-421-0931
Practice Address - Fax:703-421-7206
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2019-04-09
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Provider Licenses
StateLicense IDTaxonomies
MDD0045385207W00000X, 207WX0107X
DCMD30501207W00000X, 207WX0107X
VA0101222087207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC026698800Medicaid
VA006310516Medicaid
VA006308139Medicaid
MD267610901Medicaid
VA006310516Medicaid
DC026698800Medicaid