Provider Demographics
NPI:1396951802
Name:YOUSHAUDDIN, MOHAMMED (MD, FASN)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:
Last Name:YOUSHAUDDIN
Suffix:
Gender:M
Credentials:MD, FASN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6357 OXON HILL RD
Mailing Address - Street 2:SUITE:100
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2214
Mailing Address - Country:US
Mailing Address - Phone:301-789-5381
Mailing Address - Fax:301-789-5381
Practice Address - Street 1:6357 OXON HILL RD
Practice Address - Street 2:SUITE:100
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2214
Practice Address - Country:US
Practice Address - Phone:301-789-5381
Practice Address - Fax:301-789-5381
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD68186207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology