Provider Demographics
NPI:1043692536
Name:SHEHZAD, USMAN AHMAD (MD)
Entity type:Individual
Prefix:
First Name:USMAN
Middle Name:AHMAD
Last Name:SHEHZAD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 W CHESTER PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:484-337-1632
Mailing Address - Fax:
Practice Address - Street 1:1088 WEST BALTIMORE PIKE
Practice Address - Street 2:SUITE 2104 HC 2
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5136
Practice Address - Country:US
Practice Address - Phone:484-227-0130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2025-04-08
Deactivation Date:2016-02-02
Deactivation Code:
Reactivation Date:2016-06-22
Provider Licenses
StateLicense IDTaxonomies
DEC1-00136052084N0400X
PAMD4893252084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology