Provider Demographics
NPI:1073839833
Name:YOON, DUSTIN Y (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:Y
Last Name:YOON
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20410 OBSERVATION DR
Mailing Address - Street 2:STE 100
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6419
Mailing Address - Country:US
Mailing Address - Phone:301-762-0277
Mailing Address - Fax:301-330-9108
Practice Address - Street 1:20410 OBSERVATION DR
Practice Address - Street 2:STE 100
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6419
Practice Address - Country:US
Practice Address - Phone:301-762-0277
Practice Address - Fax:301-330-9108
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250598282086S0129X
MDD814945193400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193400000XGroupSingle Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery