Provider Demographics
NPI:1447217963
Name:YOUSUFF, SARAH SAFIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SAFIA
Last Name:YOUSUFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 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:704-362-2252
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:704-362-2252
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200833207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5119162OtherAETNA
NC2009865EOtherMEDICARE INDIVIDUAL NUMBER
NC89132REMedicaid
5193521OtherCIGNA HEALTH CARE
NC13216OtherBCBS-NC PAIN MEDICINE
NC132REOtherBCBS - ANESTHESIA
NC2009865AMedicare ID - Type Unspecified
NC89132REMedicaid