Individual
DR. YASSIR OSAMA MAHGOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2501 NORTH THIRD ST, HARRISBURG, PA 17110-1904
(717) 782-6420
(717) 782-4727
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
284982
NY
2084P0800X
Psychiatry Physician
Primary
MD467692
PA
2084P0800X
Psychiatry Physician
MT202664
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036376270001
—
PA
Enumeration date
06/21/2013
Last updated
02/18/2021
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