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Individual

DR. SANDHYA JACOB

Active
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Individual

DR. SANDHYA JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60949842
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0422785
L&I-TRA-REST OF WA
WA
01
0422789
L&I-TRA-KING
WA
01
0422790
L&I-UNION AVENUE OPEN MRI
WA
01
0422792
L&I-DIAGNOSTIC IMAGING NW
WA
05
2133414
WA
Enumeration date
04/01/2014
Last updated
07/01/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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