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NPI Code Detail

MEDICARE: EMILY YOUNG MD

MEDICARE: EMILY 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
1207R00000XInternal Medicine Physician2012-00085NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437378833
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY YOUNG MD
Provider Business Mailing Address
First Line : 1522 W MORRIS ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46221-1629
Country : US
Telephone Number : 317-957-2500
Fax Number :
Provider Business Practice Location Address
First Line : 1522 W MORRIS ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46221-1629
Country : US
Telephone Number : 317-957-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/15/2013

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Directions to “ EMILY YOUNG MD” Practice Location

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