MEDICARE: AKHTAR E YUSUFJI 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
1	208800000X	Urology Physician	16643	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1548245509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKHTAR E YUSUFJI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1193
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42419-1193
Country	:	US
Telephone Number	:	270-827-4003
Fax Number	:	270-827-4146

Provider Business Practice Location Address
First Line	:	110 3RD ST
Second Line	:	SUITE 250
City	:	HENDERSON
State	:	KY
Zip	:	42420-2993
Country	:	US
Telephone Number	:	270-827-4002
Fax Number	:	270-827-4146

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/08/2007

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