Provider Demographics
NPI:1437459872
Name:SARAH YOUSUFF MD PLLC
Entity Type:Organization
Organization Name:SARAH YOUSUFF MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-362-2232
Mailing Address - Street 1:4423 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3520
Mailing Address - Country:US
Mailing Address - Phone:704-362-2232
Mailing Address - Fax:704-909-6949
Practice Address - Street 1:4423 SHARON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3520
Practice Address - Country:US
Practice Address - Phone:704-362-2232
Practice Address - Fax:704-909-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200833207L00000X, 207LP2900X
NC2002-00833208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC132REOtherBCBSNC - ANESTHESIOLOGY
NC13216OtherBCBSNC - PAIN MANAGEMENT