Provider Demographics
NPI:1821239716
Name:MAHADIN, YOUSEF ATALLA (MD)
Entity Type:Individual
Prefix:
First Name:YOUSEF
Middle Name:ATALLA
Last Name:MAHADIN
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 1:8740 117TH ST
Mailing Address - Street 2:RICHMOND HILL
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2428
Mailing Address - Country:US
Mailing Address - Phone:718-846-9772
Mailing Address - Fax:718-546-5951
Practice Address - Street 1:8740 117TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2428
Practice Address - Country:US
Practice Address - Phone:718-846-9772
Practice Address - Fax:718-546-5951
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162562207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine