Individual
AMITH GEORGE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, DEPT. OF INTERNAL MEDICINE, IOWA CITY, IA 52242-1009
(319) 384-8955
Mailing address
200 HAWKINS DR, DEPT. OF INTERNAL MEDICINE, IOWA CITY, IA 52242-1009
(319) 384-8955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD42407
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036146096
IL
207RP1001X
Pulmonary Disease Physician
036146096
IL
Other
Enumeration date
07/01/2012
Last updated
02/26/2024
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