Provider Demographics
NPI:1770277014
Name:ITOO, USMAN BASHIR AHMED (MD)
Entity type:Individual
Prefix:MR
First Name:USMAN
Middle Name:BASHIR AHMED
Last Name:ITOO
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:FLAT NO 803, RIVER CASTLE APARTMENTS, LANE NO 31
Mailing Address - Street 2:TAWI VIHAR COLONY, SIDRAH, JAMMU 180019
Mailing Address - City:JAMMU
Mailing Address - State:JAMMU KASHMIR
Mailing Address - Zip Code:180019
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 LANSDOWNE AVENUE
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023
Practice Address - Country:US
Practice Address - Phone:610-237-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program