Individual
IBRAHEEM FARES MOHAMMAD YOUSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 SUPERIOR AVE STE 4100, MUNSTER, IN 46321-4037
(219) 922-5416
(219) 922-3745
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075120A
IN
207R00000X
Internal Medicine Physician
2012010187
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01075120A
IN
207RP1001X
Pulmonary Disease Physician
01075120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201291060
—
IN
Enumeration date
06/28/2012
Last updated
04/15/2026
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