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YOUN AND MANNAN LLC NPI 1275560732


NPI Information

NPI: 1275560732
Provider Name: YOUN AND MANNAN LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0669876

Address:
1410 CRAIN HIGHWAY NORTH
UNIT 5A
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 761-1424
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YOUN AND MANNAN LLC is a pediatrics in Glen Burnie, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. YOUN AND MANNAN LLC NPI is 1275560732. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1410 CRAIN HIGHWAY NORTH
UNIT 5A
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 761-1424
Fax: (410) 761-0301

The provider's authorized official is Young Joo Youn .
The authorized official title is Partner and has the following contact phone number (410) 761-1424.

The CLIA number assigned to this NPI record is 21D0669876 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsD56044MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G56429MEDICARE UPIN
2787931800MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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