NPI 1083959217

Abdelhameed Yaqoub

Practitioner Driver Phoenix, AZ

Practice location

Address: 11225 N 28th Dr STE C207, Phoenix, AZ 85029-5600
Phone: (602) 367-7916
Fax: (602) 997-1552

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 560174 (AZ)

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Registry record

NPI: 1083959217
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2012
Record last updated: 10 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.