Healthcare Provider Details

I. General information

NPI: 1578856670
Provider Name (Legal Business Name): DAVID YOUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 10-CRC RM 5-3150, MSC 1454 10 CENTER DRIVE
BETHESDA MD
20892-0010
US

IV. Provider business mailing address

BLDG 10-CRC RM 5-3150, MSC 1454 10 CENTER DRIVE
BETHESDA MD
20892-1454
US

V. Phone/Fax

Practice location:
  • Phone: 301-827-7823
  • Fax:
Mailing address:
  • Phone: 301-827-7823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberD78242
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD78242
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: