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Individual

DR. FADIL AJAJ YUNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 CENTENNIAL ST., STE. 104, LA PLATA, MD 20646-2540
(301) 934-2776
(301) 934-1417
Mailing address
PO BOX 2540, LA PLATA, MD 20646-2540
(301) 934-2776
(301) 934-1417

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0042716
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147954200
US DEPT OF LABOR
MD
01
2146649
ALLIANCE PPO
MD
01
2431743
AETNA
MD
01
3162 0001
CAREFIRST BCBS FED
MD
01
4046524002
CIGNA
MD
01
522271634004
US DEPT OF LABOR
MD
01
545605-04
BLUE CROSS BLUE SHIELD
MD
05
811046800
MD
01
BLUE HOICE
3162-0001
MD
Enumeration date
11/13/2006
Last updated
05/26/2011
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