# NASHWAN YOUSIF MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336456896
- **Authorized official:** DR. NASHAWN YOUSIF MD (OWNER)
- **Authorized official phone:** (248) 495-1010

## Contact information

- **Practice address:** 1261 S LAPEER RD, SUITE 101, LAKE ORION, MI 48360-1419
- **Practice address phone:** (248) 693-8634
- **Practice address fax:** (248) 693-8644
- **Mailing address:** PO BOX 4304, TROY, MI 48099-4304
- **Mailing address phone:** (248) 693-8634
- **Mailing address fax:** (248) 693-8644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301080432 | MI | Yes |

## Other

- **Enumeration date:** 09/04/2010
- **Last updated:** 09/15/2010
