Basic Information
Provider Information
NPI: 1881646461
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOUNES
FirstName: HENRY
MiddleName: JOSEPH
NamePrefix: MR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 235022
Address2:  
City: MONTGOMERY
State: AL
PostalCode: 361235022
CountryCode: US
TelephoneNumber: 3343862055
FaxNumber: 3343966929
Practice Location
Address1: 7500 HUGH DANIEL DR
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352427148
CountryCode: US
TelephoneNumber: 2059959169
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XDO-12ALY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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