MEDICARE: INDIA YOUNGER PA

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	363A00000X	Physician Assistant	023766	NY

General Provider Information

NPI Number	:	1528611852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INDIA YOUNGER PA

Provider Business Mailing Address
First Line	:	3286 BUCKEYE RD STE 130
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3885 PRINCETON LAKES WAY SW STE 404
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-5599
Country	:	US
Telephone Number	:	678-541-0777
Fax Number	:

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

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	03/16/2026

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Directions to “ INDIA YOUNGER PA” Practice Location

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