Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 27698 | AL |
N | 207XS0117X | Orthopaedic Spine Surgeon | D0055038 | AL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | D0055038 | MD |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD429881 | PA |
NPI | 1023071206 |
---|---|
Provider Name | Dr. Said Goto Osman |
First Address | Frederick, MD 21701-8512 |
Second Address | Frederick, MD 21701-8512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 28/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
221519 | MEDICARE PTAN (01) | MD |
225223 | MEDICARE PTAN (01) | DC |
F87078 | (02) | MD |