Individual
DR. JACOB MANJOORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8475 S EASTERN AVE STE 202, LAS VEGAS, NV 89123-2863
(775) 900-8475
Mailing address
8475 S EASTERN AVE SUITE 202, HENDERSON, NV 89123
(775) 900-8475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11276
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506295
—
NV
01
—
CC7754
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/07/2005
Last updated
04/14/2026
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