Individual
GEORGE YOUNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 22033-1756
(703) 359-8640
(703) 591-6105
Mailing address
13135 LEE JACKSON MEMORIAL HWY STE 305, FAIRFAX, VA 22033-1909
(703) 359-8640
(703) 591-6105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101257084
VA
2086X0206X
Surgical Oncology Physician
63325
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275794497
—
VA
05
—
1275794497
—
WI
Enumeration date
06/20/2008
Last updated
01/04/2022
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