Basic Information
Provider Information
NPI: 1700238383
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YAQOOB
FirstName: HAMID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
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Mailing Information
Address1: 2041 GEORGIA AVENUE NW, 5C-26
Address2: DEPARTMENT OF MEDICINE, HOWARD UNIVERSITY HOSPITAL
City: WASHINGTON
State: DC
PostalCode: 20060
CountryCode: US
TelephoneNumber: 2028651924
FaxNumber: 2028657199
Practice Location
Address1: 2041 GEORGIA AVENUE NW, 5C-26
Address2: DEPARTMENT OF MEDICINE, HOWARD UNIVERSITY HOSPITAL
City: WASHINGTON
State: DC
PostalCode: 20060
CountryCode: US
TelephoneNumber: 2028651924
FaxNumber: 2028657199
Other Information
ProviderEnumerationDate: 07/07/2016
LastUpdateDate: 09/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X036158547ILN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RP1001X036158547ILY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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