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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144425323 NPPES
South Dakota Other RAILROAD MEDICARE P00751793
South Dakota MEDICAID 6632250 P00751793

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