Provider Demographics
NPI:1124095500
Name:YOUSSEF, YVETTE (MD)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:YOUSSEF
Suffix:
Gender:F
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:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833
Mailing Address - Country:US
Mailing Address - Phone:603-580-6009
Mailing Address - Fax:603-580-7952
Practice Address - Street 1:118 PORTSMOUTH AVENUE
Practice Address - Street 2:MILL BROOK OFFICE PARK
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885
Practice Address - Country:US
Practice Address - Phone:603-772-7764
Practice Address - Fax:603-775-0377
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0105105YPNH01OtherANTHEM
NH020473740OtherHEALTHCARE VALUE MANAGEME
NHAA13244OtherHARVARD PILGRIM
NH020473740OtherTRICARE
NH020473740OtherUNITED HEALTHCARE
NH30009969Medicaid
NH110193507OtherRAILROAD MEDICARE
NH2316164OtherAETNA
NH020473740OtherHUMANA CHOICE CARE NETWOR
NH020473740OtherGREAT WEST HEALTHCARE
NH295843OtherCIGNA
NH020473740OtherPRIVATE HEALTHCARE SYSTEM
NHAA13244OtherHARVARD PILGRIM
NH295843OtherCIGNA