MEDICARE: DR. SHUJA YOUSUF 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	207P00000X	Emergency Medicine Physician	17986	MS
2	208M00000X	Hospitalist Physician	17986	MS
3	207R00000X	Internal Medicine Physician	17986	MS
4	207RG0100X	Gastroenterology Physician	17986	MS

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	:	1881643088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHUJA YOUSUF M.D.

Provider Business Mailing Address
First Line	:	348 CROSSGATES BLVD STE 1300
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39042-2687
Country	:	US
Telephone Number	:	601-825-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	348 CROSSGATES BLVD STE 1300
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39042-2687
Country	:	US
Telephone Number	:	601-825-5000
Fax Number	:

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	04/13/2026

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