1528069408 NPI number — GEORGES YOUSSEF NSEIR MD

Table of content: GEORGES YOUSSEF NSEIR MD (NPI 1528069408)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528069408 NPI number — GEORGES YOUSSEF NSEIR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NSEIR
Provider First Name:
GEORGES
Provider Middle Name:
YOUSSEF
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528069408
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1617
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85244-1617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-814-0266
Provider Business Mailing Address Fax Number:
480-814-0018

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
77 S DOBSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-6105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-814-0266
Provider Business Practice Location Address Fax Number:
480-814-0018
Provider Enumeration Date:
08/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  26536 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , with the licence number: 26536 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: WCSKQ . This is a "SUN HEALTH GROUP #" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 426553 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: RR060047976 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 060047976 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 060047976 . This is a "RAILROAD MEDICARE PIN" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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