Individual
DR. KABIR A YOUSUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1747 BAPTIST CLAY DR STE 320, FLEMING ISLAND, FL 32003-8503
(904) 224-5185
(904) 278-7284
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 720-0599
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D65777
ME
207RC0000X
Cardiovascular Disease Physician
D0065777
MD
207RC0000X
Cardiovascular Disease Physician
Primary
ME159189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100811100
—
MD
Enumeration date
02/07/2006
Last updated
11/04/2022
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