| Doctor Name: | ABDELHAMEED YAQOUB |
| NPI Number: | 1083959217 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 560174 |
| Business Practice Address: | 2001 W Missouri Ave Phoenix, AZ - 850152802 |
| Business Phone Number: | 9082409288 |
| Business Fax Number: | |
| Mailing Address: | 2001 W Missouri Ave, PHOENIX |
| State: | AZ |
| Postal Code: | 850152802 |
| Phone Number: | 9082409288 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2012 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | 560174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |