Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 24208 | MS |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 51618 | TN |
N | 207RC0000X | Internist - Cardiovascular Disease | 24208 | MS |
N | 207RC0000X | Internist - Cardiovascular Disease | 51618 | TN |
N | 207RI0011X | Interventional Cardiology | 24208 | MS |
NPI | 1548425622 |
---|---|
Provider Name | Jawwad Yusuf |
First Address | Memphis, TN 38148-0001 |
Second Address | Olive Branch, MS 38654-8737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 04/10/2019 |