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Individual
NIBU JACOB MALAICKAL
Active
Individual
NIBU JACOB MALAICKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REEGT, RPSGT,RNCST
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
4499
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
878
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
16863
—
273100000X
Epilepsy Hospital Unit
138
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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