Basic Information
Provider Information
NPI: 1609139070
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARRAR
FirstName: YUSUF
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2955 XENIUM LN N STE 40
Address2:  
City: PLYMOUTH
State: MN
PostalCode: 554412668
CountryCode: US
TelephoneNumber: 7633559221
FaxNumber:  
Practice Location
Address1: 3300 OAKDALE AVE N
Address2:  
City: ROBBINSDALE
State: MN
PostalCode: 554222926
CountryCode: US
TelephoneNumber: 7635592171
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2012
LastUpdateDate: 09/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X66503MNN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204X66503MNY Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
207R00000X125060855ILN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home