Provider Demographics
NPI:1255015491
Name:YOUSIF, SAFAA T
Entity type:Individual
Prefix:DR
First Name:SAFAA
Middle Name:T
Last Name:YOUSIF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 E CALLE DE LAS BRISAS
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4318
Mailing Address - Country:US
Mailing Address - Phone:480-737-7514
Mailing Address - Fax:
Practice Address - Street 1:9050 E CALLE DE LAS BRISAS
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4318
Practice Address - Country:US
Practice Address - Phone:480-737-7514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD19786207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine