DR. MINA M YACOUB


Address: 1328 Southern Ave Se, Ste 312, Washington, DC 20020
Phone: 2025632844

DR. MINA M YACOUB (NPI# 1073519823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073519823
Entity Type Individual
Full Name DR. MINA M YACOUB
Credential MD
Practice Address 1328 Southern Ave Se
Ste 312
Washington
DC 20020
Practice Telephone 2025632844
Practice Fax Number 2025632337
Mailing Telephone 2025632844
Mailing Fax Number 2025632337
Enumeration Date 2005-06-27
Last Update Date 2007-11-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 0101232738 VA Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine MD33941 DC Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
D0063530 MD Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
MD33941 DC Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
D0063530 MD Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD33941 DC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UHC RAILROAD P00381288 01
CAREFIRST BLUE CROSS 6875-0048 01

Other Providers MINA YACOUB

NPI Name Taxonomy Address Enumeration
1245868777 Mina Yacoub Dentist 1200 Old York Rd, Abington, PA 19001-3788 2020-03-30
1497134373 Mina Yacoub Pharmacist 1700 13th St, Everett, WA 98201-1689 2015-05-25

Office Location

Street Address 1328 SOUTHERN AVE SE
STE 312
City WASHINGTON
State DC
Zip Code 20020

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NPI Name Taxonomy Address Enumeration
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1083952501 Wilhelm Bonnette Counselor 1328 Southern Ave Se, Sutie 301, Washington, DC 20032-4689 2013-01-17
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1043555071 United Hospitalists Medical Service, Pllc Internal Medicine 1328 Southern Ave Se, Ste 205, Washington, DC 20032-4689 2012-12-03
1659645224 Evelyn Gyirepaa Dakwa Nurse Practitioner 1328 Southern Ave Se, Suite 309, Washington, DC 20032-4689 2012-02-29
1508156472 Angie Bryant Social Worker 1328 Southern Ave Se, Washington, DC 20032-4689 2011-04-13
1689979437 Cyril A Allen Md LLC Internal Medicine 1328 Southern Ave Se, 202, Washington, DC 20032-4689 2011-01-25
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1083932438 Footprint Podiatry Consultants, LLC Clinic/Center 1328 Southern Ave Se, Suite 209, Washington, DC 20032-4689 2010-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043834294 Monique Holland Community Health Worker 3001 O Street Se, Washington, DC 20020 2020-06-03
1215566708 Ryan Wright Counselor Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 2020-04-06
1316581002 Kamara King Hospitalist 2754 Bruce Pl Se, Washington, DC 20020 2019-11-05
1639720394 Denise Anderson Technician 2401 Bryan Pl S.e, Washington, DC 20020 2019-09-24
1629628664 Rayniece Ann Johnson Technician 1641 W.st Se #303, Washington, DC 20020 2019-09-11
1780245787 Connie Kitchings Technician 2800 Shipley Terrace Se, Washington, DC 20020 2019-06-21
1922560366 Neka Ramsey-lee Counselor Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 2019-04-04
1750843553 Chloe Rebecca Zaitlin Psychologist 2600 Douglass Rd. Se, Washington, DC 20020 2019-04-02
1356814974 Ferris Antwan Alston Technician 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 2019-01-07
1083182471 Aaron Joshua Jones Technician 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 2018-11-05
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

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1104454594 Hoangmai Huu Pham Internal Medicine 1231 C St Ne, Washington, DC 20002-6368 2020-03-31
1992351399 Richard Senzer Md LLC Internal Medicine 279 State Route 31 S Ste 1, Washington, NJ 07882-4099 2019-08-13
1336700160 Northrium Health LLC Internal Medicine 1673 K Street #300 Nw, Washington, DC 20006 2019-06-24
1780158873 Clinicians In Telemedicine LLC Internal Medicine 1678 Beeman Rd, Washington, WV 26181-5360 2019-01-11
1669942983 It Hospitalist Services Internal Medicine United Medical Center, 1310 Southern Ave., Se, Washington, DC 20032-4623 2018-11-29
1619447380 Michael Waters Internal Medicine 10 Samuel Dr, Washington, PA 15301-3206 2018-11-26
1851866198 Washington Medical LLC Internal Medicine 1140 Varnum St Ne Ste 203, Washington, DC 20017-2153 2018-10-12
1124512819 Internal Medicine Colleagues Pllc Internal Medicine 2021 K St Nw Ste 404, Washington, DC 20006-1003 2018-06-18
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Competitor

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City WASHINGTON
Zip Code 20020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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