Provider Demographics
NPI:1750727517
Name:MOHAMMADI, YOUSEF (MD)
Entity type:Individual
Prefix:
First Name:YOUSEF
Middle Name:
Last Name:MOHAMMADI
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 1:8757 E BELL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1341
Mailing Address - Country:US
Mailing Address - Phone:480-860-5500
Mailing Address - Fax:480-404-7870
Practice Address - Street 1:8757 E BELL RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1341
Practice Address - Country:US
Practice Address - Phone:480-860-5500
Practice Address - Fax:480-404-7870
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ71570207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201168730Medicaid
INP01723968OtherRR MEDICARE
IN266180707Medicare PIN