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Individual

IRA SANDERS YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101017574
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
217801
ANTHEM MAIN OFFICE
01
291701
ANTHEM SATELLITE OFFICE
01
4495166
AETNA
01
502652
NCPPO
01
B131/0007
CAREFIRST BCBS
Enumeration date
08/10/2005
Last updated
07/13/2026
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