Provider Demographics
NPI:1932631652
Name:MAITA, YOUSEF MONZER (DO)
Entity type:Individual
Prefix:
First Name:YOUSEF
Middle Name:MONZER
Last Name:MAITA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 W CACTUS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3502 W CACTUS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3127
Practice Address - Country:US
Practice Address - Phone:602-938-1590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8127208M00000X, 2083B0002X
TXV59142083B0002X
FL204752083B0002X
WI81365-252083B0002X
IL036.1748662083B0002X
MN750992083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine