MEDICARE: DR. ORAIB YACOUB M.D.

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	207ZP0101X	Anatomic Pathology Physician	18752	KY

General Provider Information

NPI Number	:	1063748333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORAIB YACOUB M.D.

Provider Business Mailing Address
First Line	:	2816 RIVERS EDGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-6178
Country	:	US
Telephone Number	:	502-893-9828
Fax Number	:

Provider Business Practice Location Address
First Line	:	2816 RIVERS EDGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-6178
Country	:	US
Telephone Number	:	502-893-9828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	10/21/2009

Similar Medicare Providers

1891717534 — KENTUCKY CVS PHARMACY LLC
Practice Location Address:

7311 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-968-9256

1114177979 — KENTUCKIANA FOOT & ANKLE PLLC
Practice Location Address:

7397 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-805-3338
Practice Fax: 502-805-7149

1841584877 — STACY ALEXANDER
Practice Location Address:

7311 JEFFERSON BLVD , T1513
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-968-9256

1043507098 — MR. JOHN W REED JR. R. PH.
Practice Location Address:

7311 JEFFERSON BLVD , T-1513
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-968-9256

1770820680 — KENTUCKIANA FOOT & ANKLE, PLLC
Practice Location Address:

7397 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-2233
Practice Fax:

1275923823 — KATHERINE L PERRY CPHT
Practice Location Address:

7311 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-653-6759

Directions to “ DR. ORAIB YACOUB M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.