TAHIR YAQUB MD INC NPI 1952615395

NPI Information

NPI: 1952615395
Provider Name: TAHIR YAQUB MD INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1775 3RD STREET
OPTIONAL
ATWATER, CA
ZIP 95301
Phone: (209) 358-5611
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TAHIR YAQUB MD INC is a primary care clinic center in Atwater, CA. TAHIR YAQUB MD INC NPI is 1952615395. The provider is registered as an organization entity type.

The provider's business location address is:

1775 3RD STREET
OPTIONAL
ATWATER, CA
ZIP 95301-608
Phone: (209) 358-5611
Fax: (209) 358-0219

The provider's authorized official is Tahir Yaqub .
The authorized official title is Provider and has the following contact phone number (209) 388-1371.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A96088	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PP00376233	OTHER	CALIFORNIA	RAILROAD MEDICARE
2	ZZZ77315Z	OTHER	CALIFORNIA	MEDI-CAL CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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