Organization Active NPI

Nashwan Yousif MD PLLC

  • Internal Medicine Physician
  • Lake Orion, MI
National Provider Identifier
1336456896
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080432 Issued in MI
Legal business name
NASHWAN YOUSIF MD PLLC
Practice address
1261 S Lapeer Rd
Suite 101
Lake Orion, MI 48360-1419
Phone
(248) 693-8634
Fax
(248) 693-8644
NPI assigned
Sep 4, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nashawn Yousif, MD
Title
Owner
Phone
(248) 495-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301080432 MI Primary

Addresses

Primary practice location

1261 S Lapeer Rd
Suite 101
Lake Orion, MI 48360-1419

Mailing address

PO Box 4304
Troy, MI 48099-4304
Phone (248) 693-8634

National Provider Directory

National Provider Directory

Locations

1261 S Lapeer Rd
Ste 101
Lake Orion, MI 48360
Phone (248) 693-8634

940 W Avon Rd
Ste 7
Rochester Hills, MI 48307
Phone (248) 652-6700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1336456896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4304",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480994304",
            "telephone_number": "248-693-8634",
            "fax_number": "248-693-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S LAPEER RD",
            "address_2": "SUITE 101",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601419",
            "telephone_number": "248-693-8634",
            "fax_number": "248-693-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHWAN YOUSIF MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "NASHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-495-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.