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Individual

DR. ISMAEL IDRIS YUSSUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1310 SOUTHERN AVE SE DEPT OF, WASHINGTON, DC 20032-4623
(540) 994-8100
(540) 994-8494
Mailing address
PO BOX 1309, SPRINGFIELD, VA 22151-0309
(616) 821-8972

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255853
VA
208M00000X
Hospitalist Physician
53863
WI

Other

Enumeration date
07/16/2008
Last updated
04/14/2020
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