Basic Information
| Provider Information | |||||||||
| NPI: | 1851558167 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUNG | ||||||||
| FirstName: | RAYMOND | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 106 IRVING ST NW | ||||||||
| Address2: | MEDSTAR WASHINGTON HOSPITAL CENTER/MEDSTAR GEORGETOWN U | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028777777 | ||||||||
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| Practice Location | |||||||||
| Address1: | 106 IRVING ST NW | ||||||||
| Address2: | PHYSICIAN OFFICE BUILDING 2200N | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200102927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028777777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2008 | ||||||||
| LastUpdateDate: | 01/26/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD042468 | DC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | D0078289 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.