Individual
DR. SHADI YOUSEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10810 CONNECTICUT AVE, KAISER PERMANENTE KENSINGTON MEDICAL CENTER, KENSINGTON, MD 20895-2138
(301) 929-7100
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D74472
MD
2085R0202X
Diagnostic Radiology Physician
MD039879
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2008
Last updated
02/07/2022
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