Provider Demographics
NPI:1295784601
Name:YOUNG, MARIA SIOBHANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:SIOBHANNE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4256 FULTON DR NW APT A
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2879
Mailing Address - Country:US
Mailing Address - Phone:330-754-6696
Mailing Address - Fax:330-754-6825
Practice Address - Street 1:6046 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7616
Practice Address - Country:US
Practice Address - Phone:330-433-1200
Practice Address - Fax:330-433-1666
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2024-04-26
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Provider Licenses
StateLicense IDTaxonomies
OH35090762207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2807234Medicaid
OHYO4225441Medicare PIN
OHH88279Medicare UPIN