Provider Demographics
NPI:1326257825
Name:YOUNG, DANIEL V (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:V
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4530 CONNECTICUT AVE NW
Mailing Address - Street 2:#104
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4328
Mailing Address - Country:US
Mailing Address - Phone:202-362-7227
Mailing Address - Fax:201-362-7228
Practice Address - Street 1:4530 CONNECTICUT AVE NW
Practice Address - Street 2:#104
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4328
Practice Address - Country:US
Practice Address - Phone:202-362-7227
Practice Address - Fax:201-362-7228
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2011-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DC25992207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC00B031D96Medicare ID - Type Unspecified
DCG00796Medicare ID - Type Unspecified
DCE60149Medicare UPIN