Provider Demographics
NPI:1841888203
Name:YUSUF, WASIU O SR
Entity type:Individual
Prefix:MR
First Name:WASIU
Middle Name:O
Last Name:YUSUF
Suffix:SR
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 1:1815 MITCHELLVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1541
Mailing Address - Country:US
Mailing Address - Phone:202-867-5833
Mailing Address - Fax:
Practice Address - Street 1:1815 MITCHELLVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1541
Practice Address - Country:US
Practice Address - Phone:202-867-5833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-01
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care