Provider Demographics
NPI:1194511733
Name:YOUNATHIN, EMAN
Entity type:Individual
Prefix:
First Name:EMAN
Middle Name:
Last Name:YOUNATHIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48771 RATTLE RUN DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-2320
Mailing Address - Country:US
Mailing Address - Phone:619-404-8266
Mailing Address - Fax:
Practice Address - Street 1:48771 RATTLE RUN DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-2320
Practice Address - Country:US
Practice Address - Phone:619-404-8266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter