Healthcare Provider Details

I. General information

NPI: 1962577189
Provider Name (Legal Business Name): FAHEEM YOUNUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UPPER CHESAPEAKE DR
BEL AIR MD
21014-4324
US

IV. Provider business mailing address

9038 SUNNI SHADE CT
PERRY HALL MD
21128-9222
US

V. Phone/Fax

Practice location:
  • Phone: 443-643-2236
  • Fax:
Mailing address:
  • Phone: 443-414-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD56942
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: