Provider Demographics
NPI:1215012596
Name:YOUNG, WILLIAM ZEEV N (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM ZEEV
Middle Name:N
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ZEEV
Other - Middle Name:
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:920 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5759
Mailing Address - Country:US
Mailing Address - Phone:425-228-4450
Mailing Address - Fax:425-228-0799
Practice Address - Street 1:920 N 1ST ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5759
Practice Address - Country:US
Practice Address - Phone:425-728-4450
Practice Address - Fax:425-228-0799
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00018527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA18288OtherL&I
WA1212109Medicaid
WA1212109Medicaid
WA000105982Medicare ID - Type Unspecified