Healthcare Provider Details

I. General information

NPI: 1952439549
Provider Name (Legal Business Name): MOHAMMED YOUNUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST MEYER 144 ADULT PSY
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

PO BOX 64260
BALTIMORE MD
21264-4260
US

V. Phone/Fax

Practice location:
  • Phone: 410-252-4700
  • Fax: 410-252-3040
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD54761
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD0054761
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: