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Individual

MARK S YOUNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PINNELL STREET, RIPLEY, WV 25271-0720
(304) 372-2731
Mailing address
PO BOX 11795, CHARLESTON, WV 25339-1795
(866) 871-7843

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17087
WV
2085R0202X
Diagnostic Radiology Physician
25.000006
OH
2085R0202X
Diagnostic Radiology Physician
37991
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000390831
BCBS
KY
01
000164081
BCBS
WV
05
0120068000
WV
05
2047207
OH
05
64942055
KY
01
P00012899
RAILROAD MEDICARE
WV
Enumeration date
07/20/2005
Last updated
01/30/2025
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