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1548425622

NPI Code Detail

MEDICARE: JAWWAD YUSUF MD

MEDICARE: JAWWAD YUSUF MD

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	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	Q0391	TX
2	207RC0000X	Cardiovascular Disease Physician	Q0391	TX
3	207RI0011X	Interventional Cardiology Physician	Q0391	TX

General Provider Information

NPI Number	:	1548425622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAWWAD YUSUF MD

Provider Business Mailing Address
First Line	:	P O BOX 1000 DEPT 960
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0001
Country	:	US
Telephone Number	:	901-758-9900
Fax Number	:	901-752-2335

Provider Business Practice Location Address
First Line	:	8230 WALNUT HILL LN STE 220
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4425
Country	:	US
Telephone Number	:	143-458-6922
Fax Number	:	214-345-0117

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

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	11/12/2024

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Directions to “ JAWWAD YUSUF MD” Practice Location

Language	Start Address	Practice Location

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