Provider Demographics
NPI:1992866651
Name:SARAH, ALIF YOUSEFF (MD)
Entity Type:Individual
Prefix:
First Name:ALIF
Middle Name:YOUSEFF
Last Name:SARAH
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 1:1625 WEST INA RD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-297-9813
Mailing Address - Fax:520-297-0705
Practice Address - Street 1:1625 WEST INA RD.
Practice Address - Street 2:SUITE 123
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-297-9813
Practice Address - Fax:520-297-0705
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110197879OtherMEDICARE RAILROAD
AZAZ0857890OtherBLUE CROSS BLUE SHIELD
AZ43842502Medicaid
AZZ60311Medicare ID - Type Unspecified
110197879OtherMEDICARE RAILROAD