Healthcare Provider Details

I. General information

NPI: 1639344088
Provider Name (Legal Business Name): MEGAN LYNNE YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 09/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

8806 LOWELL PL
BETHESDA MD
20817-3222
US

V. Phone/Fax

Practice location:
  • Phone: 412-977-6546
  • Fax:
Mailing address:
  • Phone: 412-977-6546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMD040749
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: