Provider Demographics
NPI:1538476189
Name:AL YAHIA, MUSAB (MD)
Entity Type:Individual
Prefix:DR
First Name:MUSAB
Middle Name:
Last Name:AL YAHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5153 N 9TH AVE
Mailing Address - Street 2:6TH FL NEMOURS
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8785
Mailing Address - Country:US
Mailing Address - Phone:850-416-7658
Mailing Address - Fax:850-416-7677
Practice Address - Street 1:5153 N 9TH AVE
Practice Address - Street 2:6TH FL NEMOURS
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8785
Practice Address - Country:US
Practice Address - Phone:850-416-7658
Practice Address - Fax:850-416-7677
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN14768208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics