Healthcare Provider Details

I. General information

NPI: 1508203209
Provider Name (Legal Business Name): MARK NASR YOUSSEF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 JOHN STREET STE B
CINCINNATI OH
45214-4104
US

IV. Provider business mailing address

1508 JOHN STREET STE B
CINCINNATI OH
45214-4104
US

V. Phone/Fax

Practice location:
  • Phone: 513-598-3900
  • Fax: 513-598-3919
Mailing address:
  • Phone: 513-598-3900
  • Fax: 513-598-3919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19488
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.125383
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.125383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: