Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 0101257084 | VA |
Y | 208600000X | Surgeon | 0101257084 | VA |
N | 2086X0206X | Surgical Oncologist | 63325 | WI |
NPI | 1275794497 |
---|---|
Provider Name | George Younan |
First Address | Fairfax, VA 22033-1909 |
Second Address | Fairfax, VA 22033-1756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1275794497 | (05) | VA |
1275794497 | (05) | WI |