Provider Demographics
NPI:1811996218
Name:YOUNES, JIHAD S (MD)
Entity type:Individual
Prefix:DR
First Name:JIHAD
Middle Name:S
Last Name:YOUNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1251 S LAPEER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1415
Mailing Address - Country:US
Mailing Address - Phone:248-693-4444
Mailing Address - Fax:248-382-4010
Practice Address - Street 1:1251 S LAPEER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1415
Practice Address - Country:US
Practice Address - Phone:248-693-4444
Practice Address - Fax:248-382-4010
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301073431207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5181052Medicaid
I18792OtherHAP
MI4301073431OtherMICHIGAN MEDICAL LICENSE
P44390001Medicare PIN
MI4301073431OtherMICHIGAN MEDICAL LICENSE