Provider Demographics
NPI:1376508994
Name:YOUNG-HYMAN, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:YOUNG-HYMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7845 OAKWOOD ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4256
Mailing Address - Country:US
Mailing Address - Phone:410-768-0919
Mailing Address - Fax:410-760-5932
Practice Address - Street 1:7845 OAKWOOD ROAD
Practice Address - Street 2:SUITE 106
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4256
Practice Address - Country:US
Practice Address - Phone:410-768-0919
Practice Address - Fax:410-760-5932
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026664207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD315391600Medicaid
B67159Medicare UPIN
MDKK38HG73Medicare PIN
MDB67159Medicare UPIN
MD315391600Medicaid