Masannat, Fares Yousef
Masannat, Fares Yousef is an sole proprietor health care provider with primary practice located at 6709 S Minnesota Ave Suite 102, Sioux Falls SD 57108-2592. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Masannat, Fares Yousef can be contacted via phone (605) 335-1952.Contact Information
Primary practice address
6709 S Minnesota Ave Suite 102
Sioux Falls SD 57108-2592
Phone: (605) 335-1952
Fax: (605) 373-9971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | PG PERMIT # 76497 | Arizona |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 7518 | South Dakota |
Profile Details
| NPI number | 1144425323 |
|---|---|
| LBN Legal business name | Masannat, Fares Yousef |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Aug 6th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144425323 | NPPES |
| South Dakota | Other | RAILROAD MEDICARE | P00751793 |
| South Dakota | MEDICAID | 6632250 | P00751793 |
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