Provider Demographics
NPI:1114331196
Name:USMAN, OMAR ALI (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:ALI
Last Name:USMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5342 WOODBURY WOODS PL
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-3729
Mailing Address - Country:US
Mailing Address - Phone:248-767-9656
Mailing Address - Fax:571-601-2803
Practice Address - Street 1:1751 PINNACLE DR STE 600
Practice Address - Street 2:
Practice Address - City:TYSONS
Practice Address - State:VA
Practice Address - Zip Code:22102-4007
Practice Address - Country:US
Practice Address - Phone:703-810-3868
Practice Address - Fax:571-601-2803
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2025-01-11
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Provider Licenses
StateLicense IDTaxonomies
VA0101277935207P00000X, 2083C0008X, 208D00000X, 2083C0008X, 208D00000X, 207P00000X
CA1492532083C0008X, 208D00000X
MI4301505472208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice