Healthcare Provider Details

I. General information

NPI: 1891635249
Provider Name (Legal Business Name): MAZAR MOHAMED YOUSIF MOHAMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS WAY # 512-19A
LITTLE ROCK AR
72202-3500
US

IV. Provider business mailing address

607 EASTVIEW CT UNIT Z2
SCHAUMBURG IL
60194-5124
US

V. Phone/Fax

Practice location:
  • Phone: 501-364-1874
  • Fax: 501-364-3196
Mailing address:
  • Phone: 469-418-1042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: