Provider Demographics
NPI:1851341424
Name:HAGI, YOUSEF M (MD)
Entity Type:Individual
Prefix:
First Name:YOUSEF
Middle Name:M
Last Name:HAGI
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 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-584-0166
Mailing Address - Fax:502-584-0144
Practice Address - Street 1:200 ABRAHAM FLEXNER WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1818
Practice Address - Country:US
Practice Address - Phone:502-587-4404
Practice Address - Fax:502-584-0144
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37743207L00000X, 207LC0200X
OH35.082031207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000300800OtherANTHEM
IN200447220AMedicaid
KYP00042385Medicare ID - Type UnspecifiedRAILROAD MEDICARE
KY000000300800Medicare ID - Type UnspecifiedANTHEM SENIOR ADVANTAGE
KY0750832Medicare ID - Type UnspecifiedKENTUCKY MEDICARE