MEDICARE: MOHAMMED YOUSHAUDDIN M.D., FASN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	D68186	MD

General Provider Information

NPI Number	:	1396951802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED YOUSHAUDDIN M.D., FASN

Provider Business Mailing Address
First Line	:	6357 OXON HILL RD
Second Line	:	SUITE:100
City	:	OXON HILL
State	:	MD
Zip	:	20745-2214
Country	:	US
Telephone Number	:	301-789-5381
Fax Number	:	301-789-5381

Provider Business Practice Location Address
First Line	:	6357 OXON HILL RD
Second Line	:	SUITE:100
City	:	OXON HILL
State	:	MD
Zip	:	20745-2214
Country	:	US
Telephone Number	:	301-789-5381
Fax Number	:	301-789-5381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	01/25/2010

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