Yacoub, Maged Labib
Yacoub, Maged Labib is an sole proprietor health care provider with primary practice located at 1401 Spanos Ct #204, Modesto CA 95355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yacoub, Maged Labib can be contacted via phone (209) 525-3875.Contact Information
Primary practice address
1401 Spanos Ct #204
Modesto CA 95355
Phone: (209) 525-3875
Fax: (209) 525-3876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A54186 | California |
Profile Details
| NPI number | 1558327866 |
|---|---|
| LBN Legal business name | Yacoub, Maged Labib |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 24th, 2010 - about 14 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 | 1558327866 | NPPES |
| California | MEDICAID | 00A541860 |
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