Provider Demographics
NPI:1134512692
Name:RAMINFAR, YOUNA M
Entity Type:Individual
Prefix:
First Name:YOUNA
Middle Name:M
Last Name:RAMINFAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOUNA
Other - Middle Name:
Other - Last Name:MEHRABI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6500 GARDENWICK RD
Mailing Address - Street 2:APT 4C
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2500
Mailing Address - Country:US
Mailing Address - Phone:347-232-3313
Mailing Address - Fax:
Practice Address - Street 1:1807 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:888-808-6483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018499363A00000X
MDC0006337363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant