Yaqub, Tahir
Yaqub, Tahir is an sole proprietor health care provider with primary practice located at 1775 3Rd St , Atwater CA 95301-3608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yaqub, Tahir can be contacted via phone (209) 358-5611.Contact Information
Primary practice address
1775 3Rd St
Atwater CA 95301-3608
Phone: (209) 358-5611
Fax: (209) 358-0219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A96088 | California |
Profile Details
| NPI number | 1326077280 |
|---|---|
| LBN Legal business name | Yaqub, Tahir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jan 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326077280 | NPPES |
| California | Other | P00376233 | RAILROAD MEDICARE |
| California | Other | ZZZ77315Z | RAILROAD MEDICARE |
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