Healthcare Provider Details

I. General information

NPI: 1811249212
Provider Name (Legal Business Name): YOUSSEF AL SHEIKH PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 W BROADWAY RD
TEMPE AZ
85282-1338
US

IV. Provider business mailing address

524 W BROADWAY RD
TEMPE AZ
85282-1338
US

V. Phone/Fax

Practice location:
  • Phone: 801-739-7395
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246QC1000X
TaxonomyChemistry Pathology Specialist/Technologist
License Number3792
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code246ZB0301X
TaxonomyBiomedical Engineer
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code246ZB0500X
TaxonomyBiochemist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number3792
License Number StateIL
# 8
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number3792
License Number StateIL
# 9
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: