Individual
SHAHID YAKOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13634 N 93RD AVE, #100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Mailing address
13634 N 93RD AVE, #100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD425240
PA
207RP1001X
Pulmonary Disease Physician
Primary
40370
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418685
—
AZ
Enumeration date
08/12/2006
Last updated
01/14/2010
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