MEDICARE: BASIL A 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
1	207R00000X	Internal Medicine Physician	K9942	TX
2	207Q00000X	Family Medicine Physician	K9942	TX
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	K9942	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1851329932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASIL A YOUNIS MD

Provider Business Mailing Address
First Line	:	PO BOX 1239
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48099-1239
Country	:	US
Telephone Number	:	248-824-6600
Fax Number	:	248-324-1477

Provider Business Practice Location Address
First Line	:	4545 FULLER DR
Second Line	:	SUITE 325
City	:	IRVING
State	:	TX
Zip	:	75038-6530
Country	:	US
Telephone Number	:	972-870-5511
Fax Number	:	972-870-5512

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	12/20/2013

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Directions to “ BASIL A YOUNIS MD” Practice Location

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