Individual
MOHAMMED YOUSUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4430 HIGHWAY 22, MANDEVILLE, LA 70471-3310
(985) 626-3470
(985) 674-5377
Mailing address
4430 HIGHWAY 22, MANDEVILLE, LA 70471-3310
(985) 626-3470
(985) 674-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11006R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1652539
—
LA
01
—
23269
CONTROLLED SUBSTANCE #
LA
Enumeration date
07/06/2006
Last updated
03/07/2023
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