Provider Demographics
NPI:1457306789
Name:YOUSSEF, JIHAD GEORGES (MD)
Entity Type:Individual
Prefix:DR
First Name:JIHAD
Middle Name:GEORGES
Last Name:YOUSSEF
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 1:6560 FANNIN ST STE 1234
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2711
Mailing Address - Country:US
Mailing Address - Phone:832-834-5346
Mailing Address - Fax:832-834-5347
Practice Address - Street 1:6560 FANNIN ST STE 1234
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2711
Practice Address - Country:US
Practice Address - Phone:832-834-5346
Practice Address - Fax:832-834-5347
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3492207RC0200X, 207RS0012X, 207RP1001X
AZ30830207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ758352Medicaid
AZ30830OtherMEDICAL LICENSE
TX8EA797OtherBLUE CROSS BLUE SHIELD
AZAZ0919370OtherBCBSAZ
AZZ137037Medicare PIN
TX8EA797OtherBLUE CROSS BLUE SHIELD
AZAZ0919370OtherBCBSAZ
AZ758352Medicaid