Provider Demographics
NPI:1922075753
Name:MASTER, USMAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:USMAN
Middle Name:G
Last Name:MASTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1886 W AUBURN RD
Mailing Address - Street 2:SUTIE 400
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3865
Mailing Address - Country:US
Mailing Address - Phone:248-290-3111
Mailing Address - Fax:248-290-3100
Practice Address - Street 1:44200 WOODWARD AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5045
Practice Address - Country:US
Practice Address - Phone:248-253-0330
Practice Address - Fax:248-253-1982
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2010-01-13
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Provider Licenses
StateLicense IDTaxonomies
MI4301052008207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4095890Medicaid
M54550007Medicare ID - Type Unspecified
F28210Medicare UPIN