MEDICARE: DR. MALA YOUNG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	4301101464	MI

General Provider Information

NPI Number	:	1255627022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MALA YOUNG M.D.

Provider Business Mailing Address
First Line	:	706 W HURON ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-4212
Country	:	US
Telephone Number	:	734-800-4940
Fax Number	:	734-492-3941

Provider Business Practice Location Address
First Line	:	706 W HURON ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-4212
Country	:	US
Telephone Number	:	734-800-4940
Fax Number	:	734-492-3941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	08/06/2025

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