Provider Demographics
NPI:1932990991
Name:TAKI, YASIR FOUAD MAKI MOHAMMED (MD)
Entity type:Individual
Prefix:DR
First Name:YASIR
Middle Name:FOUAD MAKI MOHAMMED
Last Name:TAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:475 SEAVIEW AVENUE, INTERNAL MEDICINE RESIDENCY
Mailing Address - Street 2:ATTN: MARINELA LUKAJ
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-226-8313
Mailing Address - Fax:718-226-9516
Practice Address - Street 1:475 SEAVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-226-8313
Practice Address - Fax:718-226-9516
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program