Individual
DR. ABRAHAM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 DELAWARE STREET SE, PWB FOURTH FLOOR ROOM 4-100, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 672-7122
Mailing address
200 OAK STREET SE, ROOM 270, MCNAMARA CENTER, MCNAMARA CENTER UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-2820
(612) 624-0997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39348
MN
208000000X
Pediatrics Physician
39348
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-01462
MEDICA PRIMARY
MN
01
—
04-07575
MEDICA CHOICE
MN
01
—
04-08261
MEDICA CHOICE - PCC
MN
05
—
0591164
—
IA
01
—
1016575
PREFERRED ONE
MN
01
—
122189
UCARE
MN
05
—
34633600
—
WI
05
—
349818200
—
MN
01
—
598T8JA
BCBS
MN
01
—
721T5JA
BCBS - PCC
MN
01
—
792497
ARAZ
MN
01
—
HP25847
HEALTHPARTNERS
MN
Enumeration date
07/24/2006
Last updated
08/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us