Individual
IRUM YAQUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD RICHMOND, RICHMOND, VA 23249-1027
(804) 675-5000
Mailing address
6004 CARRINGTON GREEN PL, GLEN ALLEN, VA 23060-3438
(636) 634-1967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME130984
FL
2084P0805X
Geriatric Psychiatry Physician
Primary
0101263435
VA
390200000X
Student in an Organized Health Care Education/Training Program
2012042476
MO
Other
Enumeration date
12/28/2012
Last updated
02/21/2025
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