Healthcare Provider Details
I. General information
NPI: 1538124839
Provider Name (Legal Business Name): GEORGE NAGY YOUSSEF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2006
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PERKINS SQ
AKRON OH
44308-1063
US
IV. Provider business mailing address
1 PERKINS SQ
AKRON OH
44308-1063
US
V. Phone/Fax
- Phone: 330-543-8823
- Fax:
- Phone: 330-543-8823
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 35080091 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | TP925 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: