Individual
EYAS K YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01056060A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001044597
ANTHEM PROVIDER NUMBER
IN
05
—
200861140
—
IN
Enumeration date
03/30/2007
Last updated
03/02/2021
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