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NPI Code Detail

MEDICARE: HOUDA TRABULSI-YOUNIS MD

MEDICARE:   HOUDA  TRABULSI-YOUNIS  MD
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
1208000000XPediatrics Physician01044422AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598721128
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOUDA TRABULSI-YOUNIS MD
Provider Business Mailing Address
First Line : 2622 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5410
Country : US
Telephone Number : 260-425-3752
Fax Number : 260-745-1321
Provider Business Practice Location Address
First Line : 2622 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5410
Country : US
Telephone Number : 260-425-3752
Fax Number : 260-745-1321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 03/01/2016

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Directions to “ HOUDA TRABULSI-YOUNIS MD” Practice Location

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