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NPI Code Detail

MEDICARE: SHAGUFTA YOUSAF MD PLLC

MEDICARE: SHAGUFTA YOUSAF MD PLLC
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
1208000000XPediatrics Physician30103OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710482047
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAGUFTA YOUSAF MD PLLC
Provider Business Mailing Address
First Line : 5300 W MEMORIAL RD APT 14D
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-2040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2225 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7026
Country : US
Telephone Number : 855-541-2862
Fax Number :
Authorized Official
Title or Position : CEO
Name : SHAGUFTA YOUSAF
Credential : MD
Telephone Number : 855-541-2862
Provider Enumeration Date : 03/28/2018
Last Update Date : 03/28/2018

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Directions to “SHAGUFTA YOUSAF MD PLLC ” Practice Location

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