MEDICARE: DR. DANIEL V YOUNG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25992	DC

General Provider Information

NPI Number	:	1326257825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL V YOUNG MD

Provider Business Mailing Address
First Line	:	4530 CONNECTICUT AVE NW
Second Line	:	#104
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4328
Country	:	US
Telephone Number	:	202-362-7227
Fax Number	:	201-362-7228

Provider Business Practice Location Address
First Line	:	4530 CONNECTICUT AVE NW
Second Line	:	#104
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4328
Country	:	US
Telephone Number	:	202-362-7227
Fax Number	:	201-362-7228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	11/21/2011

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