Individual
SUMERA YAQUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-7040
(812) 485-7042
Mailing address
12101 WOODCREST EXECUTIVE DR STE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010014300
MO
207R00000X
Internal Medicine Physician
Primary
FY5568019
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356653463
—
MO
Enumeration date
07/06/2010
Last updated
06/26/2025
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