Healthcare Provider Details

I. General information

NPI: 1174427538
Provider Name (Legal Business Name): KNIHJA YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4737 MEADE ST NE
WASHINGTON DC
20019-3947
US

IV. Provider business mailing address

26 GALVESTON ST SW APT 302
WASHINGTON DC
20032-1906
US

V. Phone/Fax

Practice location:
  • Phone: 202-827-8717
  • Fax:
Mailing address:
  • Phone: 202-754-2698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1084001
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: