Ali, Yaqub

Ali, Yaqub is an individual health care provider with primary practice located at 2001 Laurel Ave Suite 202, Knoxville TN 37916-1810. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ali, Yaqub can be contacted via phone (865) 377-7199.

Contact Information

Primary practice address
2001 Laurel Ave Suite 202 Knoxville TN 37916-1810
Phone: (865) 377-7199
Fax: (865) 637-5121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD31121 Tennessee

Profile Details

NPI number 1801893771
LBN Legal business name Ali, Yaqub
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Oct 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801893771 NPPES
Tennessee MEDICAID 3854318

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