Basic Information
Provider Information
NPI: 1457303935
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAQ
FirstName: YASMEEN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 9TH ST
Address2: ROOM 205 MAILSTOP 2-3
City: SACRAMENTO
State: CA
PostalCode: 958146414
CountryCode: US
TelephoneNumber: 9166542431
FaxNumber: 9166543186
Practice Location
Address1: 33255 NINTH STREET
Address2:  
City: UNION CITY
State: CA
PostalCode: 94587
CountryCode: US
TelephoneNumber: 5104715907
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 06/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA50149CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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