Provider Demographics
NPI:1134348873
Name:YUSUFI, MUHAMHAD ARIF (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMHAD
Middle Name:ARIF
Last Name:YUSUFI
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 1:2249 VINSON HWY SE
Mailing Address - Street 2:WHEELER BLDG
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-4807
Mailing Address - Country:US
Mailing Address - Phone:478-445-1702
Mailing Address - Fax:478-445-1264
Practice Address - Street 1:2249 VINSON HWY SE
Practice Address - Street 2:WHEELER BLDG
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-4807
Practice Address - Country:US
Practice Address - Phone:478-445-1702
Practice Address - Fax:478-445-1264
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA048321174400000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00918442AMedicaid
GA11BDTGTMedicare ID - Type Unspecified
GA00918442AMedicaid