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NPI Code Detail

MEDICARE: SHAGUFTA YOUSAF M.D.

MEDICARE: SHAGUFTA YOUSAF M.D.
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
1208000000XPediatrics PhysicianTP810KY
2208000000XPediatrics Physician40626KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518042886
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAGUFTA YOUSAF M.D.
Provider Business Mailing Address
First Line : 2225 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7026
Country : US
Telephone Number : 405-208-7849
Fax Number : 405-212-2861
Provider Business Practice Location Address
First Line : 2225 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7026
Country : US
Telephone Number : 405-208-7849
Fax Number : 405-212-2861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 03/17/2024

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Directions to “ SHAGUFTA YOUSAF M.D.” Practice Location

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