Individual
EMAD S YOUNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 CENTENNIAL DR, PEABODY, MA 01960-7901
(978) 532-2652
Mailing address
PO BOX 3443, PEABODY, MA 01961-3443
(978) 532-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
205009
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
205009
MA
208VP0000X
Pain Medicine Physician
205009
MA
208VP0014X
Interventional Pain Medicine Physician
205009
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122190
—
MA
01
—
205009
TUFTS HEALTH CARE
MA
01
—
277198
HARVARD PILGRIM HEALTHCAR
MA
01
—
67891
FALLON
MA
01
—
J23136
BLUE CROSS/BLUE SHIELD
MA
01
—
P00128250
RAILROAD MEDICARE
MA
Enumeration date
04/13/2006
Last updated
09/21/2011
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