Provider Demographics
NPI:1962577189
Name:YOUNUS, FAHEEM (MD)
Entity type:Individual
Prefix:
First Name:FAHEEM
Middle Name:
Last Name:YOUNUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10845 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-1717
Mailing Address - Country:US
Mailing Address - Phone:410-335-0008
Mailing Address - Fax:410-335-1133
Practice Address - Street 1:615 W MACPHAIL RD STE 206
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4305
Practice Address - Country:US
Practice Address - Phone:443-643-2236
Practice Address - Fax:443-643-1545
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD56942207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA110228808OtherRAILROAD MEDICARE
MD0Y21F 61073401OtherCAREFIRST
MD790009100Medicaid
DCF162 0001OtherCAREFIRST
MD790009100Medicaid
MD0Y21F 61073401OtherCAREFIRST