Individual ProviderHasib YousufzaiHospitalistAllopathic & Osteopathic PhysiciansPractice Address325 9th Ave, Seattle, WA 98104-2499(517) 775-9145(206) 520-5700PECOS EnrollmentBased on the most recent information from CMS, provider Hasib Yousufzai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073076683Provider TypeIndividualFull NameYousufzai, HasibTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/10/2019Last Updated6/23/2022Contact InformationPractice LocationPractice Address325 9th Ave, Seattle, WA 98104-2499Phone(517) 775-9145FaxUnlisted FaxMailing LocationMailing AddressPO Box 50095, Seattle, WA 98145-5095Phone(206) 520-5700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD61203144WashingtonCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD61203144WashingtonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1073076683DescriptionMedicaidIssuerUnlistedWashington