Organization
SHAGUFTA YOUSAF MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAGUFTA YOUSAF MD (CEO)
(855) 541-2862
Entity
Organization
Contact information
Practice address
2225 SW 59TH ST, OKLAHOMA CITY, OK 73119-7026
(855) 541-2862
Mailing address
5300 W MEMORIAL RD APT 14D, OKLAHOMA CITY, OK 73142-2040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30103
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200703350A
—
OK
Enumeration date
03/28/2018
Last updated
03/28/2018
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