Provider Demographics
NPI:1831297126
Name:YOUSSEF, ASSER M (MD)
Entity Type:Individual
Prefix:
First Name:ASSER
Middle Name:M
Last Name:YOUSSEF
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 1479
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-1479
Mailing Address - Country:US
Mailing Address - Phone:917-572-1129
Mailing Address - Fax:480-625-4302
Practice Address - Street 1:2080 W. SOUTHERN AVE
Practice Address - Street 2:SUITE B-1
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120
Practice Address - Country:US
Practice Address - Phone:480-350-7905
Practice Address - Fax:480-625-4302
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ48584208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ890347Medicaid
AZZ164567Medicare PIN