Individual
GEORGES S YACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3006 N. CO. RD 25A STE 102, TROY, OH 45373-1373
(937) 335-2075
(937) 335-9840
Mailing address
PO BOX 1013, 3006 N. CO RD 25A STE 102, TROY, OH 45373-8013
(937) 335-2075
(937) 339-0612
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35080325
OH
207RP1001X
Pulmonary Disease Physician
35080325
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35080325
OH
208M00000X
Hospitalist Physician
35080325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2352298
—
OH
Enumeration date
06/20/2005
Last updated
04/12/2013
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