Individual
DR. MOHAMMAD BASHAR YOUSUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST FL 2, LEBANON, PA 17042-6111
(717) 270-3751
(717) 270-3754
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
165591-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD463184
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957442
—
NY
Enumeration date
06/16/2006
Last updated
11/02/2018
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