Basic Information
| Provider Information | |||||||||
| NPI: | 1669569513 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUSSEF | ||||||||
| FirstName: | RIMON | ||||||||
| MiddleName: | FAWZY | ||||||||
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| Credential: | MB.BS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 HARBOR COVE LN APT 1400E | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294123013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437624121 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2051 CHARLIE HALL BLVD | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8435732535 | ||||||||
| FaxNumber: | 8435732534 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2006 | ||||||||
| LastUpdateDate: | 05/22/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0205X | 27884 | SC | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 208000000X | 27884 | SC | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.