institution
Tahir Yaqub Md Inc
Primary Care Clinic/Center in Atwater, California
NPI 1952615395

Tahir Yaqub Md Inc is a Primary Care Clinic/Center based in Merced, CA and is specialized in Primary Care. Tahir Yaqub Md Inc practices in Atwater, CA. The NPI Number for Tahir Yaqub Md Inc is 1952615395 and holds a License No. A96088 (California).

The current practice location address for Tahir Yaqub Md Inc is 1775 3Rd Street, Atwater, CA and can be reached out via phone at 209-358-5611 and via fax at 209-358-0219.

Location: 1775 3Rd Street, Atwater, CA, 95348-2727
institution
Provider Profile Details
NPI Number
1952615395
Provider Name
Tahir Yaqub Md Inc
Credential
Provider Entity Type
Organization
Address
1775 3Rd Street, Atwater, CA, 95348-2727
Phone Number
209-358-5611
Fax Number
209-358-0219
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ77315Z 01 CA MEDI-CAL CALIFORNIA
PP00376233 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1775 3Rd Street
City
State
Zip
95301-3608
Phone Number
209-358-5611
Fax Number
209-358-0219
person
Provider Business Mailing Address Details
Address
1775 3Rd Street
City
State
Zip
95301-3608
Phone Number
209-358-5611
Fax Number
209-358-0219
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A96088 (California)
Definition
Definition to come...
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