Provider Demographics
NPI:1689697732
Name:YOUSFI, MAHMOUD (MD)
Entity Type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:
Last Name:YOUSFI
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:PO BOX 5508
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261
Mailing Address - Country:US
Mailing Address - Phone:480-247-6777
Mailing Address - Fax:480-245-7393
Practice Address - Street 1:8060 E GELDING DR
Practice Address - Street 2:SUITE 107
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6960
Practice Address - Country:US
Practice Address - Phone:480-247-6777
Practice Address - Fax:480-245-7393
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29978207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ79191Medicare ID - Type Unspecified
AZF78172Medicare UPIN