Provider Demographics
NPI:1205063898
Name:BADER, YOUSEF (MD)
Entity type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:
Last Name:BADER
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 1:1900 COLUMBUS AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6880
Mailing Address - Country:US
Mailing Address - Phone:989-894-3278
Mailing Address - Fax:989-891-8155
Practice Address - Street 1:1900 COLUMBUS AVE FL 4
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6831
Practice Address - Country:US
Practice Address - Phone:989-894-3278
Practice Address - Fax:989-891-8155
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA248812207RC0000X
MI4301110987207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease