Individual
EMAD N YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40946 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-5446
(813) 720-7237
(888) 366-6013
Mailing address
40946 US HIGHWAY 19 N # 101, TARPON SPRINGS, FL 34689-5446
(813) 720-7237
(888) 366-6019
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.146212
IL
2085R0202X
Diagnostic Radiology Physician
310629
LA
2085R0202X
Diagnostic Radiology Physician
ME101719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000583100
—
FL
01
—
50772
FL BLUE
FL
Enumeration date
07/13/2007
Last updated
11/22/2024
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