Individual
DR. KHALID F YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-4169
(978) 466-4017
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226548
MA
208M00000X
Hospitalist Physician
226548
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072006A
—
MA
Enumeration date
01/04/2006
Last updated
10/28/2020
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