Provider Demographics
NPI:1902117369
Name:YOUSAF, ADIL MUHAMMAD (RPH)
Entity Type:Individual
Prefix:
First Name:ADIL
Middle Name:MUHAMMAD
Last Name:YOUSAF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 FALLSTON RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1456
Mailing Address - Country:US
Mailing Address - Phone:410-877-7849
Mailing Address - Fax:410-877-9150
Practice Address - Street 1:2026 FALLSTON RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-1456
Practice Address - Country:US
Practice Address - Phone:410-877-7849
Practice Address - Fax:410-877-9150
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15406183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD15406OtherRPH LICENSE