Healthcare Provider Details

I. General information

NPI: 1346189321
Provider Name (Legal Business Name): KHANSA YOUNUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BUTTE ST
REDDING CA
96001-0852
US

IV. Provider business mailing address

870 MISSION SIERRA CT APT 3
REDDING CA
96003-3870
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-5400
  • Fax:
Mailing address:
  • Phone: 279-243-9476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: