Individual
YOUSIF MUKATASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 W 10TH ST, INDIANAPOLIS, IN 46202-3082
(317) 274-8157
Mailing address
3400 BROADWAY, GARY, IN 46408-1101
(224) 766-9697
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
05/17/2025
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