Provider Demographics
NPI:1245301779
Name:YUNIS, FADIL AJAJ (MD)
Entity type:Individual
Prefix:DR
First Name:FADIL
Middle Name:AJAJ
Last Name:YUNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2540
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-2540
Mailing Address - Country:US
Mailing Address - Phone:301-934-2776
Mailing Address - Fax:301-934-1417
Practice Address - Street 1:203 CENTENNIAL ST.
Practice Address - Street 2:STE. 104
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-2540
Practice Address - Country:US
Practice Address - Phone:301-934-2776
Practice Address - Fax:301-934-1417
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0042716208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDBLUE HOICEOther3162-0001
MD3162 0001OtherCAREFIRST BCBS FED
MD2146649OtherALLIANCE PPO
MD2146649OtherMAMSI
MD2431743OtherAETNA
MD4046524002OtherCIGNA
MD545605-04OtherBLUE CROSS BLUE SHIELD
MD2146649OtherUNITEDHEALTHCARE
MD2146649OtherOPTIMUM CHOICE
MD522271634004OtherUS DEPT OF LABOR
MD2146649OtherGEHA
MD2146649OtherMDIPA
MD811046800Medicaid
MD147954200OtherUS DEPT OF LABOR
MD088M969EMedicare PIN
MD2146649OtherMDIPA