Individual
MINA SAFWAT YOUSSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01083542A
IN
208M00000X
Hospitalist Physician
01083542A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010875
MEDICARE PTAN
IN
05
—
300040990
—
IN
01
—
M122404057
MEDICARE PTAN
IN
01
—
P02664880
RAILROAD PTAN
IN
Enumeration date
04/05/2017
Last updated
10/23/2023
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