Healthcare Provider Details

I. General information

NPI: 1184087843
Provider Name (Legal Business Name): GHEITH YOUSIF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S WASHINGTON AVE
SAGINAW MI
48601
US

IV. Provider business mailing address

800 S WASHINGTON AVE
SAGINAW MI
48601-2551
US

V. Phone/Fax

Practice location:
  • Phone: 989-907-8000
  • Fax:
Mailing address:
  • Phone: 989-907-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number4301119094
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.134421
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: