Organization
HESYRA MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA M YACOUB M.D. (PRESIDENT)
(703) 960-8150
Entity
Organization
Contact information
Practice address
7300 VAN DUSEN RD, LAUREL REGIONAL HOSPITAL, LAUREL, MD 20707-9463
(301) 497-7900
Mailing address
8904 GARDEN GATE DR, ATTN: DR M YACOUB, FAIRFAX, VA 22031-1471
(703) 960-8150
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
02/28/2009
Last updated
02/28/2009
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