MEDICARE: HAROON YOUSAF 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	207R00000X	Internal Medicine Physician	54242	WI
2	207RI0011X	Interventional Cardiology Physician	MD61041218	WA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207RC0000X	Cardiovascular Disease Physician	MD61041218	WA

General Provider Information

NPI Number	:	1871731364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROON YOUSAF MD

Provider Business Mailing Address
First Line	:	3620 ENSIGN RD NE STE B
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-6957
Country	:	US
Telephone Number	:	360-884-0052
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 ENSIGN RD NE STE B
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-6957
Country	:	US
Telephone Number	:	360-884-0052
Fax Number	:

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

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	12/23/2023

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Directions to “ HAROON YOUSAF MD” Practice Location

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