Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 105526 | MO |
NPI | 1013987197 |
---|---|
Provider Name | Dr. Haifaa T. Younis |
First Address | Saint Louis, MO 63122 |
Second Address | Saint Louis, MO 63122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 21/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204655435 | (05) | MO |
G84555 | (02) | MO |