Provider Demographics
NPI:1487677720
Name:RAJABALEE, YUSUF SR (MD)
Entity Type:Individual
Prefix:DR
First Name:YUSUF
Middle Name:
Last Name:RAJABALEE
Suffix:SR
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 1:8180 NW 36TH ST
Mailing Address - Street 2:ALHAMBRA PROFESSIONAL CENTER CORP SUITE 213
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:786-336-0095
Mailing Address - Fax:786-336-0097
Practice Address - Street 1:8180 NW 36TH ST
Practice Address - Street 2:ALHAMBRA PROFESSIONAL CENTER CORP SUITE 213
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:786-336-0095
Practice Address - Fax:786-336-0097
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43820208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
96771Medicare ID - Type Unspecified
D77113Medicare UPIN