Individual
DR. JOHN K YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 PINE HEIGHTS AVE, SUITE 203, BALTIMORE, MD 21229-5208
(410) 644-1454
(410) 525-8645
Mailing address
PO BOX 21182, BALTIMORE, MD 21228-0682
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0030010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049
CAREFIRST-DC
MD
01
—
351970-04
CAREFIRST-MD
MD
Enumeration date
09/20/2006
Last updated
02/15/2011
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