MEDICARE: MR. MOHAMMAD YOUSAF PAC

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	363AM0700X	Medical Physician Assistant	WV484	WV

General Provider Information

NPI Number	:	1801844303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMMAD YOUSAF PAC

Provider Business Mailing Address
First Line	:	4605 MACCORKLE AVE SW
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25309-1311
Country	:	US
Telephone Number	:	304-414-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1097 FLEDDERJOHN RD
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25314-4208
Country	:	US
Telephone Number	:	304-345-3627
Fax Number	:	304-346-4440

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	01/04/2022

Similar Medicare Providers

1235133562 — DONALD HALSTEAD MOORE MD
Practice Location Address:

1097 FLEDDERJOHN RD STE 1
CHARLESTON, WV
25314-4208

Practice Phone: 304-345-3627
Practice Fax: 304-346-4440

1114990900 — STACEY WALLER PH.D.
Practice Location Address:

1097 FLEDDERJOHN RD STE 3
CHARLESTON, WV
25314-4208

Practice Phone: 304-345-0880
Practice Fax: 304-345-1112

1710945498 — MR. GREG MCCARTNEY PA
Practice Location Address:

1097 FLEDDERJOHN RD
CHARLESTON, WV
25314-4208

Practice Phone: 304-345-3627
Practice Fax: 304-346-4440

1013947241 — SAMAR RYIAD SANKARI MD
Practice Location Address:

1097 FLEDDERJOHN RD
CHARLESTON, WV
25314-4208

Practice Phone: 304-720-1963
Practice Fax: 304-720-1966

1952418683 — SCOTT A BROWN RPH
Practice Location Address:

1097 FLEDDERJOHN RD
CHARLESTON, WV
25314-4208

Practice Phone: 304-767-7920
Practice Fax: 304-767-7929

1306935192 — JOHN HUNTER LEWIS DO
Practice Location Address:

1097 FLEDDERJOHN RD , TMH ASHTON MEDICAL ASSOCIATES
CHARLESTON, WV
25314-4208

Practice Phone: 304-345-3627
Practice Fax: 304-346-4440

Directions to “ MR. MOHAMMAD YOUSAF PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.