Provider Demographics
NPI:1518992239
Name:YACOUB, WESAM GABER (MD)
Entity Type:Individual
Prefix:DR
First Name:WESAM
Middle Name:GABER
Last Name:YACOUB
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 405633
Mailing Address - Street 2:MOSES CONE MEDICAL SERVICES INC.
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5633
Mailing Address - Country:US
Mailing Address - Phone:336-832-3677
Mailing Address - Fax:336-832-3681
Practice Address - Street 1:520 N ELAM AVE
Practice Address - Street 2:LEBAUER PULMONARY
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1127
Practice Address - Country:US
Practice Address - Phone:336-547-1801
Practice Address - Fax:336-547-1828
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-04-22
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Provider Licenses
StateLicense IDTaxonomies
NC2008-01539207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease