Yacoub, Mina M
Yacoub, Mina M is an individual health care provider with primary practice located at 1328 Southern Ave Se Ste 312, Washington DC 20020. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Yacoub, Mina M can be contacted via phone (202) 563-2844.Contact Information
Primary practice address
1328 Southern Ave Se Ste 312
Washington DC 20020
Phone: (202) 563-2844
Fax: (202) 563-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD33941 | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101232738 | Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD33941 | District of Columbia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD33941 | District of Columbia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0063530 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D0063530 | Maryland |
Profile Details
| NPI number | 1073519823 |
|---|---|
| LBN Legal business name | Yacoub, Mina M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Nov 29th, 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 | 1073519823 | NPPES |
| Other | 6875-0048 | CAREFIRST BLUE CROSS | |
| Other | P00381288 | CAREFIRST BLUE CROSS |
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