Provider Demographics
NPI:1184775991
Name:BARULA, USMAN AHMAD (MD)
Entity type:Individual
Prefix:
First Name:USMAN
Middle Name:AHMAD
Last Name:BARULA
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:P.O BOX 6101
Mailing Address - Street 2:910 GEORGIA AVE
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402
Mailing Address - Country:US
Mailing Address - Phone:423-650-4042
Mailing Address - Fax:561-948-4484
Practice Address - Street 1:2412 MCCALLIE AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3398
Practice Address - Country:US
Practice Address - Phone:423-698-0221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025569207R00000X
TN44115208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051519270OtherBLUE CROSS BLUE SHIELD
AL051519272OtherBLUE CROSS BLUE SHIELD
AL051519274OtherBLUE CROSS BLUE SHIELD
AL051519267OtherBLUE CROSS BLUE SHIELD
AL5755391OtherCIGNA
AL630307044Medicaid
AL7502686OtherAETNA
TN3002291Medicaid
AL051520333OtherBLUE CROSS BLUE SHIELD
AL051519273OtherBLUE CROSS BLUE SHIELD
TN4193779OtherBCBST
GA669465025AMedicaid
TN4193779OtherBCBST
AL051519274OtherBLUE CROSS BLUE SHIELD
GA669465025AMedicaid