Provider Demographics
NPI:1962938654
Name:YOUSUF, AISHA (MD)
Entity type:Individual
Prefix:MS
First Name:AISHA
Middle Name:
Last Name:YOUSUF
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 1:5905 BELL HARBOUR DRIVE
Mailing Address - Street 2:
Mailing Address - City:MISSISSAUGA
Mailing Address - State:ON
Mailing Address - Zip Code:L5M5K8
Mailing Address - Country:CA
Mailing Address - Phone:416-880-2000
Mailing Address - Fax:
Practice Address - Street 1:W180 N8000 TOWN HALL ROAD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051
Practice Address - Country:US
Practice Address - Phone:262-255-2500
Practice Address - Fax:262-532-3725
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program