Youssef Derbala

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

YOUSSEF DERBALA

Practice address

15050 E Jefferson Ave Ste 102
Grosse Pointe Park, MI 48230-2050

Phone

(248) 938-0141

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Youssef Derbala, MDQNPI 1619239456

Title

MD

Phone

(616) 676-6196

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Youssef S. Derbala, MD

  • Reproductive Endocrinology Physician
  • Harper Woods, MI
  • NPI 1619239456

  Obstetrics & Gynecology

  NPD Authorized official

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1851900096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 E JEFFERSON AVE STE 102",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302050",
            "telephone_number": "248-938-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 E JEFFERSON AVE STE 102",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302050",
            "telephone_number": "248-938-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSSEF DERBALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "DERBALA",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "616-676-6196",
        "authorized_official_credential": "MDQ"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Wendzinski, DO
• Timeka Williams
• Tatianna Wright, BA, BS
• X-Press Unlimited LLC
• Olando York, L.M.T
• Nissi Jeovane Zape
• Dong Fang Zhao, M.D.

• Obstetrics & Gynecology Physician in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.