Provider Demographics
NPI:1104806462
Name:YOUSAF, ZAHIR (MD)
Entity type:Individual
Prefix:
First Name:ZAHIR
Middle Name:
Last Name:YOUSAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 SOLOMONS ISLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639
Mailing Address - Country:US
Mailing Address - Phone:410-535-0666
Mailing Address - Fax:410-535-3468
Practice Address - Street 1:3995 OLD TOWN RD STE 201
Practice Address - Street 2:
Practice Address - City:HUNTINGTOWN
Practice Address - State:MD
Practice Address - Zip Code:20639
Practice Address - Country:US
Practice Address - Phone:410-535-0666
Practice Address - Fax:410-535-3468
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0027189207RS0012X, 207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD137311100Medicaid
B69867Medicare UPIN
MD137311100Medicaid