Healthcare Provider Details

I. General information

NPI: 1891617445
Provider Name (Legal Business Name): MOHAMAD ALI YOUNES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 BRAMHALL ST
PORTLAND ME
04102-3134
US

IV. Provider business mailing address

4 HILL ST APT 7
PORTLAND ME
04102-3135
US

V. Phone/Fax

Practice location:
  • Phone: 207-332-9006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberEC261108
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: