Individual
DR. PRADEEP K JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Mailing address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD35336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3865712
—
TN
Enumeration date
05/31/2005
Last updated
12/29/2021
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