Individual
DR. SHATHA WAJIH YOUSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME113456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006572300
—
FL
Enumeration date
08/24/2007
Last updated
11/30/2015
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