Individual ProviderYousef HammudehInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 E Chestnut St Ste 303, Louisville, KY 40202-1831(502) 629-5552(502) 588-9490PECOS EnrollmentBased on the most recent information from CMS, provider Yousef Hammudeh 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 ID1851753818Provider TypeIndividualFull NameHammudeh, YousefTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/28/2016Last Updated10/19/2020Contact InformationPractice LocationPractice Address200 E Chestnut St Ste 303, Louisville, KY 40202-1831Phone(502) 629-5552Fax(502) 629-3132Mailing LocationMailing AddressPO Box 776351, Chicago, IL 60677-6351Phone(502) 588-9490Fax(502) 272-5116Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense54017KentuckyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer