1629575584 NPI number — DR. MANAF H S YOUNIS M.D., MPH

Table of content: DR. MANAF H S YOUNIS M.D., MPH (NPI 1629575584)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629575584 NPI number — DR. MANAF H S YOUNIS M.D., MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YOUNIS
Provider First Name:
MANAF
Provider Middle Name:
H S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., MPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629575584
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
510 BON HOMME RICHARD COURT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-264-8683
Provider Business Mailing Address Fax Number:
305-324-7658

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 EAST TAYLOR ST
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
SHERMAN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-814-1558
Provider Business Practice Location Address Fax Number:
305-324-7658
Provider Enumeration Date:
04/09/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0117X , with the licence number: T8978 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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