Provider Demographics
NPI:1689959470
Name:YOUSUF, MOHAMMAD AZMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:AZMAL
Last Name:YOUSUF
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 1:114 ALBEMARLE RD
Mailing Address - Street 2:APT. #C10
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2328
Mailing Address - Country:US
Mailing Address - Phone:718-435-9844
Mailing Address - Fax:
Practice Address - Street 1:114 ALBEMARLE RD
Practice Address - Street 2:APT. #C10
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2328
Practice Address - Country:US
Practice Address - Phone:718-435-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital