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NPI Code Detail

MEDICARE: NADIA YOUSUF TAYEB M.D.

MEDICARE: NADIA YOUSUF TAYEB 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
12084F0202XForensic Psychiatry Physician89665SC
22084P0800XPsychiatry PhysicianL.4057RAL
3390200000XStudent in an Organized Health Care Education/Training Program
42084F0202XForensic Psychiatry Physician35.147694OH

General Provider Information

NPI Number : 1952747198
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA YOUSUF TAYEB M.D.
Provider Business Mailing Address
First Line : 925B PEACHTREE ST NE UNIT 2029
Second Line :
City : ATLANTA
State : GA
Zip : 30309-3918
Country : US
Telephone Number : 407-690-4762
Fax Number :
Provider Business Practice Location Address
First Line : 400 E STATE ST STE D
Second Line :
City : ATHENS
State : OH
Zip : 45701-1870
Country : US
Telephone Number : 740-249-4514
Fax Number : 800-480-7578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 05/28/2025

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