Provider Demographics
NPI:1396754289
Name:YOUNAS, AHMER (MD)
Entity type:Individual
Prefix:
First Name:AHMER
Middle Name:
Last Name:YOUNAS
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:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-0146
Mailing Address - Country:US
Mailing Address - Phone:360-683-9895
Mailing Address - Fax:360-582-5614
Practice Address - Street 1:3555 10TH CT STE 200B
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5013
Practice Address - Country:US
Practice Address - Phone:772-563-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN75618207RH0003X
IL036173586207RH0003X, 207RX0202X
TXM5598207RX0202X
WAMD61472434207RX0202X
FLME172503207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185636106Medicaid
TX185636101Medicaid
TX140819704Medicaid
TX185636107Medicaid
TX185636102Medicaid
TXP00964044OtherRAILROAD MEDICARE
TXTXB134171Medicare PIN
TXP00964044OtherRAILROAD MEDICARE
TX8J3745Medicare ID - Type Unspecified
TX8K8822Medicare PIN
TX140819704Medicaid
TX8K8820Medicare PIN
TX185636106Medicaid
TX8K8821Medicare PIN