Individual
ABID YAQUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7675 WELLNESS WAY, WEST CHESTER, OH 45069-2509
(513) 475-7400
(513) 475-8201
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22178
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
22178
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35120443
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642760
—
OH
05
—
3810005022
—
WV
05
—
64120074
—
KY
Enumeration date
04/19/2006
Last updated
07/13/2017
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