MEDICARE: MS. MICHAL ANN 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	2080N0001X	Neonatal-Perinatal Medicine Physician	13607	DC

General Provider Information

NPI Number	:	1851390801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHAL ANN YOUNG M.D.

Provider Business Mailing Address
First Line	:	411 E TANTALLON DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-6124
Country	:	US
Telephone Number	:	301-203-8931
Fax Number	:	301-203-3362

Provider Business Practice Location Address
First Line	:	2041 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20060-0001
Country	:	US
Telephone Number	:	202-865-1596
Fax Number	:

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/08/2007

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