Provider Demographics
NPI:1831262112
Name:USMAN, MAHMOOD AHMED (MD, MMM)
Entity type:Individual
Prefix:DR
First Name:MAHMOOD
Middle Name:AHMED
Last Name:USMAN
Suffix:
Gender:M
Credentials:MD, MMM
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 451
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-0451
Mailing Address - Country:US
Mailing Address - Phone:412-487-2844
Mailing Address - Fax:412-487-4058
Practice Address - Street 1:665 RODI RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4566
Practice Address - Country:US
Practice Address - Phone:412-241-9013
Practice Address - Fax:412-244-9252
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042679L2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA124808Medicaid
060587Medicare ID - Type Unspecified
PA124808Medicaid