| Bashiruddin Usama Dds Inc | |
|
5 Severance Cir Suite 209 Cleveland Heights OH 44118-1566 | |
| (216) 382-0040 | |
| Not Available |
| Full Name | Bashiruddin Usama Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5 Severance Cir, Cleveland Heights, Ohio |
| Authorized Official Name and Position | Bashiruddin Usama (PRESIDENT) |
| Authorized Official Contact | 2163820040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bashiruddin Usama Dds Inc 5 Severance Cir Suite 209 Cleveland Heights OH 44118-1566 Ph: (216) 382-0040 | Bashiruddin Usama Dds Inc 5 Severance Cir Suite 209 Cleveland Heights OH 44118-1566 Ph: (216) 382-0040 |
| NPI Number | 1376525337 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376525337 | NPI | - | NPPES |
| 0243703 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30014220 (Ohio) | Primary |
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