Yacoub, Fadi
Yacoub, Fadi is an individual health care provider with primary practice located at 543 7Th St Se , Cedar Rapids IA 52401-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yacoub, Fadi can be contacted via phone (319) 369-4505.Contact Information
Primary practice address
543 7Th St Se
Cedar Rapids IA 52401-1929
Phone: (319) 369-4505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31164 | Iowa |
Profile Details
| NPI number | 1285690412 |
|---|---|
| LBN Legal business name | Yacoub, Fadi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Oct 25th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285690412 | NPPES |
| Iowa | MEDICAID | 5159087 |
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