Yaakob, William M

Yaakob, William M is an individual health care provider with primary practice located at 1600 Phillips Rd , Tallahassee FL 32308-5304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Yaakob, William M can be contacted via phone (850) 878-4127.

Contact Information

Primary practice address
1600 Phillips Rd Tallahassee FL 32308-5304
Fax: (850) 878-0337
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X ME77795 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME77795 Florida

Profile Details

NPI number 1457305096
LBN Legal business name Yaakob, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 6th, 2015 - about 9 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 1457305096 NPPES
Georgia MEDICAID 000842355C
Georgia MEDICAID 256554400
Georgia Other 46802
Georgia MEDICAID 000842355A
Georgia MEDICAID 000842355D

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