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Mohamed Furhan Yacub, MD

Student in an Organized Health Care Education/Training Program in Port Huron, MI. Individual provider (NPI-1).

NPI number1922996404
StatusActive
Last updated in NPPESJun 25, 2025

Details

NPI
1922996404
Entity type
Individual (NPI-1)
Name
Mohamed Furhan Yacub
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2025
Certification date
Jun 25, 2025
Last updated
Jun 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1216 Richardson St
Port Huron, MI 48060-3549

Phone 810-985-2640

Mailing address

1216 Richardson St
Port Huron, MI 48060-3549

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