Individual
YUNUS ALI MOOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S 8TH ST STE 182W, MURRAY, KY 42071-2444
(270) 762-1560
(270) 752-2861
Mailing address
1370 N INTERSTATE DR, SUITE 154, NORMAN, OK 73072-3376
(918) 421-6079
(918) 421-6077
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
200765
LA
207RC0000X
Cardiovascular Disease Physician
Primary
46683
KY
207RC0000X
Cardiovascular Disease Physician
MD 60408489
WA
207RC0000X
Cardiovascular Disease Physician
P4487
TX
207RI0011X
Interventional Cardiology Physician
200765
LA
207RI0011X
Interventional Cardiology Physician
23782
OK
207RI0011X
Interventional Cardiology Physician
MD 60408489
WA
207RI0011X
Interventional Cardiology Physician
MD212821
OR
207RI0011X
Interventional Cardiology Physician
P4487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584436
—
LA
05
—
2017560
—
WA
01
—
P00390466
RR MEDICARE
LA
Enumeration date
07/21/2006
Last updated
10/24/2022
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