Individual
DR. JACOB NINAN
Active
Individual
DR. JACOB NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060753
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
66624
MN
207RN0300X
Nephrology Physician
55575
AZ
208M00000X
Hospitalist Physician
63852-20
WI
Other
Enumeration date
06/30/2012
Last updated
09/03/2020
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