Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 36807 | TN |
NPI | 1073516639 |
---|---|
Provider Name | Dr. Usman Yusuf |
First Address | Memphis, TN 38105-2794 |
Second Address | Memphis, TN 38105-2794 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00126619 | (05) | MS |
0571463 | (05) | IA |
1136417 | (05) | LA |
274942 | (05) | OR |
3496608 | (05) | TN |
64057201 | (05) | KY |
7613513 | (05) | NC |
82557400 | (05) | WI |
H69831 | (02) | TN |