Provider Demographics
NPI:1306636899
Name:YOUNUS, MARIUM (MBBS)
Entity type:Individual
Prefix:DR
First Name:MARIUM
Middle Name:
Last Name:YOUNUS
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 TH 15 TH STREET HB3014
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-5344
Mailing Address - Country:US
Mailing Address - Phone:706-721-4924
Mailing Address - Fax:706-721-6123
Practice Address - Street 1:1120 TH 15 TH STREET HB3014
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-5344
Practice Address - Country:US
Practice Address - Phone:706-721-4924
Practice Address - Fax:706-721-6123
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA17547207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine