Provider Demographics
NPI:1609665173
Name:MASOUDI, MOHAMMAD YUSUF
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:YUSUF
Last Name:MASOUDI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 176TH ST E UNIT A4
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98446-2815
Mailing Address - Country:US
Mailing Address - Phone:206-580-7594
Mailing Address - Fax:
Practice Address - Street 1:4519 176TH ST E UNIT A4
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-2815
Practice Address - Country:US
Practice Address - Phone:206-580-7594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter