MEDICARE: SAJID YOUSAF AP MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2020010633	MO

General Provider Information

NPI Number	:	1376167593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJID YOUSAF AP MD

Provider Business Mailing Address
First Line	:	7491 BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2101
Country	:	US
Telephone Number	:	510-491-5458
Fax Number	:

Provider Business Practice Location Address
First Line	:	7491 BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2101
Country	:	US
Telephone Number	:	510-491-5458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	06/03/2020

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