Gouda, M Yasser

Gouda, M Yasser is an individual health care provider with primary practice located at 9523 Bustleton Ave , Philadelphia PA 19115-3801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gouda, M Yasser can be contacted via phone (267) 428-6454.

Contact Information

Primary practice address
9523 Bustleton Ave Philadelphia PA 19115-3801
Phone: (267) 428-6454
Fax: (267) 428-6457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD066786L Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD066786L Pennsylvania

Profile Details

NPI number 1831197946
LBN Legal business name Gouda, M Yasser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831197946 NPPES
Pennsylvania MEDICAID 001739115000

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