Individual
MOHAMMAD YUSUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 LONDON MOUNTAIN VIEW DR, SUITE 4, LONDON, KY 40741-6601
(606) 878-1181
(606) 878-1267
Mailing address
2112 NAPLES LN, LEXINGTON, KY 40513-1815
(859) 948-0309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33446
KY
207R00000X
Internal Medicine Physician
Primary
33446
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380450
BCBS PROVIDER NUMBER
KY
05
—
64343460
—
KY
01
—
P00616384
MEDICARE RAILROAD
KY
Enumeration date
05/10/2006
Last updated
05/11/2015
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