Provider Demographics
NPI:1861570871
Name:YOUNES, CLAUDE ELIAS (MD)
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:ELIAS
Last Name:YOUNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MINERAL SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4606
Mailing Address - Country:US
Mailing Address - Phone:401-726-2777
Mailing Address - Fax:401-728-0849
Practice Address - Street 1:1300 MINERAL SPRING AVE
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4606
Practice Address - Country:US
Practice Address - Phone:401-726-2777
Practice Address - Fax:401-728-0849
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI8289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICY04408Medicaid
RIF39897Medicare UPIN
RI119002972Medicare PIN