Provider Demographics
NPI:1740661974
Name:MINHAS, OSMAAN (DO)
Entity type:Individual
Prefix:DR
First Name:OSMAAN
Middle Name:
Last Name:MINHAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:714-235-6995
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:8357 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2493
Practice Address - Country:US
Practice Address - Phone:571-665-6440
Practice Address - Fax:571-665-6441
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291541207Q00000X
VA0102206199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine