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Individual

DR. ABRAHAM JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
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