Provider Demographics
NPI:1275670515
Name:HAMEED, YUSUF HASAN (MD)
Entity Type:Individual
Prefix:DR
First Name:YUSUF
Middle Name:HASAN
Last Name:HAMEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 LYMAN HALL
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1048
Mailing Address - Country:US
Mailing Address - Phone:912-713-7919
Mailing Address - Fax:
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-713-7919
Practice Address - Fax:912-819-8232
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043952207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00762847CMedicaid
GA05BDHJZMedicare ID - Type Unspecified
G36212Medicare UPIN