Provider Demographics
NPI:1578095311
Name:YOUNIS, MOUSTAFA (MD, MSCR)
Entity type:Individual
Prefix:
First Name:MOUSTAFA
Middle Name:
Last Name:YOUNIS
Suffix:
Gender:M
Credentials:MD, MSCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1549 GALE LEMERAND DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3008
Mailing Address - Country:US
Mailing Address - Phone:352-273-8740
Mailing Address - Fax:352-627-4268
Practice Address - Street 1:2301 HOLMES ST
Practice Address - Street 2:TRUMAN MEDICAL CENTER HOSPITAL HILL (HH)
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2640
Practice Address - Country:US
Practice Address - Phone:816-404-4175
Practice Address - Fax:816-404-9480
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME167444207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine