Individual
Y NABIL YAKUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101031824
VA
207R00000X
Internal Medicine Physician
0101031824
VA
207RN0300X
Nephrology Physician
0101031824
VA
208M00000X
Hospitalist Physician
Primary
0101031824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010143675
—
VA
Enumeration date
07/08/2005
Last updated
04/27/2022
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