MEDICARE: KASHIF YAQUB MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1972388841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASHIF YAQUB MD INC

Provider Business Mailing Address
First Line	:	4440 VON KARMAN AVE STE 350
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2082
Country	:	US
Telephone Number	:	949-678-8885
Fax Number	:

Provider Business Practice Location Address
First Line	:	4440 VON KARMAN AVE STE 350
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2082
Country	:	US
Telephone Number	:	949-678-8885
Fax Number	:	949-335-9820

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KASHIF YAQUB
Credential	:	MD
Telephone Number	:	585-309-6875

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	06/24/2025

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