Individual
NADIA YAQUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2960 MACK RD STE 200, FAIRFIELD, OH 45014-5300
(513) 603-8352
(513) 603-8357
Mailing address
2960 MACK RD STE 200, FAIRFIELD, OH 45014-5300
(513) 603-8352
(513) 603-8357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20994
WV
207R00000X
Internal Medicine Physician
35-091961
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
20994
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-091961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200930530
—
IN
05
—
2547926
—
OH
05
—
3810001998
—
WV
05
—
64117278
—
KY
Enumeration date
04/19/2006
Last updated
11/11/2020
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