Provider Demographics
NPI:1821282971
Name:YOUSAF, ASIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIMA
Middle Name:
Last Name:YOUSAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 WELLINGTON PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2093
Mailing Address - Country:US
Mailing Address - Phone:501-219-0407
Mailing Address - Fax:
Practice Address - Street 1:2015 WELLINGTON PLANTATION DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2093
Practice Address - Country:US
Practice Address - Phone:501-219-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-61592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5H844Medicare PIN