Provider Demographics
NPI:1588611305
Name:YOUNIS, LIWA T (MD)
Entity Type:Individual
Prefix:DR
First Name:LIWA
Middle Name:T
Last Name:YOUNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10012 KENNERLY RD
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2197
Mailing Address - Country:US
Mailing Address - Phone:314-729-0088
Mailing Address - Fax:314-729-0088
Practice Address - Street 1:10012 KENERLY ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128
Practice Address - Country:US
Practice Address - Phone:314-729-0088
Practice Address - Fax:314-729-3974
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2010-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO100261207RC0000X
IL036090561207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO02165OtherEXCLUSIVE CHOICE
MO1117466OtherCARE PARTNERS
MO3019OtherHEALTHCARE USA
MO3070858OtherCIGNA HMO PPO OPEN ACCESS
MO1043369OtherFIRST HEALTH NETWORK
MO966556OtherAETNA
MO22933OtherBCBS
IL04232002OtherBCBS
MO236140OtherHEALTHLINK
MOF68961OtherMERCY HEALTH PLAN
MO12178OtherESSENCE HEALTHCARE
MO2505574OtherUNITED HEALTH CARE
MO206804015Medicaid
MO3070858002OtherCIGNA PAL REFERRAL
MO42422OtherGROUP HEALTH PLAN
MO3019OtherHEALTHCARE USA
ILL39775Medicare ID - Type Unspecified
MO1043369OtherFIRST HEALTH NETWORK
MO2505574OtherUNITED HEALTH CARE
MO003012159Medicare ID - Type Unspecified