Individual
MOHAMMAD M YOUSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, ST ELIZABETH HEALTHCARE, EDGEWOOD, KY 41017-3403
(859) 301-2018
(859) 301-2073
Mailing address
PO BOX 636324, ST ELIZABETH HEALTHCARE, CINCINNATI, OH 45263-6324
(859) 301-2018
(859) 301-2073
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
48648
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TP696
KY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
4301087420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149808
—
OH
05
—
7100384310
—
KY
Enumeration date
10/17/2006
Last updated
06/21/2023
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