Provider Demographics
NPI:1669451654
Name:YEHYAWI, HUSSEIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSSEIN
Middle Name:J
Last Name:YEHYAWI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1603 MORGAN ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-3433
Mailing Address - Country:US
Mailing Address - Phone:319-524-5424
Mailing Address - Fax:319-524-5438
Practice Address - Street 1:1603 MORGAN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-3433
Practice Address - Country:US
Practice Address - Phone:319-524-5424
Practice Address - Fax:319-524-5438
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA18945207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0089037Medicaid
A001976OtherTRIWEST
IA0089037Medicaid