Healthcare Provider Details

I. General information

NPI: 1780683805
Provider Name (Legal Business Name): YOUSSEF M ARSHOUN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CARLISLE ST
NATRONA HEIGHTS PA
15065-1152
US

IV. Provider business mailing address

1301 CARLISLE ST
NATRONA HEIGHTS PA
15065-1152
US

V. Phone/Fax

Practice location:
  • Phone: 724-226-7380
  • Fax: 724-226-7324
Mailing address:
  • Phone: 724-226-7380
  • Fax: 724-226-7324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD060402L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberMD060402L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: