Provider Demographics
NPI:1902049596
Name:NORTH ALABAMA MEDICAL CLINIC PC
Entity Type:Organization
Organization Name:NORTH ALABAMA MEDICAL CLINIC PC
Other - Org Name:MUSARRAT A YOUSUF, M.D., PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSARRAT
Authorized Official - Middle Name:AFROZE
Authorized Official - Last Name:YOUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-325-9111
Mailing Address - Street 1:300 SUN TEMPLE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5919
Mailing Address - Country:US
Mailing Address - Phone:256-325-9111
Mailing Address - Fax:256-325-9113
Practice Address - Street 1:300 SUN TEMPLE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-5919
Practice Address - Country:US
Practice Address - Phone:256-325-9111
Practice Address - Fax:256-325-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-12
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23512207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty