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NPI Code Detail

MEDICARE: MUNIRA A YUSUF MD

MEDICARE: MUNIRA A 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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1700261336
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNIRA A YUSUF MD
Provider Business Mailing Address
First Line : 2829 W DEBORAH DR
Second Line :
City : MONROE
State : LA
Zip : 71201-1919
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1703 LAMY LN
Second Line :
City : MONROE
State : LA
Zip : 71201-3737
Country : US
Telephone Number : 318-322-7999
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : MRS. MUNIRA YUSUF
Credential : M.D.
Telephone Number : 318-322-7999
Provider Enumeration Date : 07/24/2015
Last Update Date : 07/24/2015

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Directions to “MUNIRA A YUSUF MD ” Practice Location

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