Provider Demographics
NPI:1962577189
Name:YOUNUS, FAHEEM (MD)
Entity type:Individual
Prefix:DR
First Name:FAHEEM
Middle Name:
Last Name:YOUNUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9038 SUNNI SHADE CT
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9222
Mailing Address - Country:US
Mailing Address - Phone:443-414-0931
Mailing Address - Fax:
Practice Address - Street 1:500 UPPER CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4324
Practice Address - Country:US
Practice Address - Phone:443-643-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD56942207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA110228808OtherRAILROAD MEDICARE
MD0Y21F 61073401OtherCAREFIRST
MD790009100Medicaid
DCF162 0001OtherCAREFIRST
MD790009100Medicaid
MD0Y21F 61073401OtherCAREFIRST