Healthcare Provider Details

I. General information

NPI: 1447590260
Provider Name (Legal Business Name): RANIA HASSAN YOUNIS BDS,MDS,PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6865 DEERPATH RD STE 302
ELKRIDGE MD
21075-6254
US

IV. Provider business mailing address

8516 TIMBER HILL CT
ELLICOTT CITY MD
21043-6069
US

V. Phone/Fax

Practice location:
  • Phone: 410-796-3333
  • Fax: 410-796-3375
Mailing address:
  • Phone: 410-814-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number17436
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number80
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: