Provider Demographics
NPI:1861756363
Name:NASR, YOUSSEF (MD)
Entity type:Individual
Prefix:
First Name:YOUSSEF
Middle Name:
Last Name:NASR
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 1:175 WHITE ST NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1053
Mailing Address - Country:US
Mailing Address - Phone:470-793-0200
Mailing Address - Fax:770-590-4185
Practice Address - Street 1:175 WHITE ST NW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1053
Practice Address - Country:US
Practice Address - Phone:470-793-0200
Practice Address - Fax:770-590-4185
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301100565207R00000X
IA45625207RC0000X
GA93371207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease