Yusuf Manuel Aboul-Nasr
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mesa, AZ
NPI 1669319703 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1669319703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- R82337 (AZ)
- Practice address
- 1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162 - Phone
- (480) 827-5500
- NPI assigned
- Apr 29, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R82337 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R82337 | AZ | Yes |
Addresses
Primary practice location
1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
Mailing address
1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
Phone (480) 827-5500
Other providers in Mesa, AZ
- Abide Home Health Care LLC
- Ability Home Health Care Agency LLC
- Ramez Naim Abilmona
- Able Transit LLC
- Gamal Aboul-Nasr
- Above & Below LLC
- Above & Below LLC
- Gwendolyn Abrahamson
- Ruth Abramowitz
- Harvey Abrams
All providers in Mesa, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.