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Contact Information

MAKABIS YOUSEFPOUR, DPM
2016 S MAIN ST
MARYVILLE, MO64468-2655
 Phone: 660-562-7999
 Fax: 660-562-7996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MAKABIS YOUSEFPOUR · (Male)

NPI Number 1417983222
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/23/2006
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CA License # E4609
  • MO License # 2024022221
  • TX License # 1986
  • KS Medicaid 30005196780001
  • MO Medicaid 300146697
  • TX Medicaid 324566401
  • TX Medicaid 324566402
  • TX Other P01242890 RAILROAD MEDICARE
Hospital affiliation(s)
  • SILVER LAKE MEDICAL CENTER - (Acute Care)
    1711 WEST TEMPLE STREET
    LOS ANGELES, CA 90026
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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