Provider Demographics
NPI:1689312258
Name:YOUSAF, HAMZA (MD)
Entity Type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:YOUSAF
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 1:2157 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214
Mailing Address - Country:US
Mailing Address - Phone:716-862-1423
Mailing Address - Fax:716-862-1871
Practice Address - Street 1:2157 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-862-1423
Practice Address - Fax:716-862-1871
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2023-04-26
Deactivation Date:2023-02-22
Deactivation Code:
Reactivation Date:2023-04-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program