Healthcare Provider Details

I. General information

NPI: 1134357437
Provider Name (Legal Business Name): UMAIR YOUSUFI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 01/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 K ST STE 200
SACRAMENTO CA
95816-5122
US

IV. Provider business mailing address

2929 K ST STE 200
SACRAMENTO CA
95816-5122
US

V. Phone/Fax

Practice location:
  • Phone: 916-750-2328
  • Fax: 916-710-8113
Mailing address:
  • Phone: 916-750-2328
  • Fax: 916-710-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM-1939
License Number StateGU
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberM-1939
License Number StateGU
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA109986
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: