Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 009778 | GA |
N | 111NI0900X | Internist | 009778 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 009778 | GA |
Y | 207RI0011X | Interventional Cardiology | 009778 | GA |
NPI | 1124541818 |
---|---|
Provider Name | Dr. Altayyeb Yousef |
First Address | Atlanta, GA 30322-0001 |
Second Address | Atlanta, GA 30322-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 25/07/2017 |