Individual
SAMINA YOUSUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
142 HIGHLAND DR, LEBANON, VA 24266-4636
(276) 889-0433
(276) 889-5537
Mailing address
142 HIGHLAND DR, LEBANON, VA 24266-4636
(276) 889-0433
(276) 889-5537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054913
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005850533
—
VA
05
—
005880335
—
VA
01
—
010087000
FEDERAL BLACK LUNG
VA
05
—
010172632
—
VA
01
—
174348
BLUE CROSS
VA
01
—
176423
BLUE CROSS
VA
01
—
289808
MAMSI
VA
01
—
382745
BLUE CROSS
VA
01
—
VA0101
JOHN DEERE
VA
Enumeration date
05/08/2006
Last updated
05/13/2013
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