Individual
DR. JACOB SAJ OOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
19204 N 93RD WAY, SCOTTSDALE, AZ 85255-5528
(480) 821-9339
(480) 821-9555
Mailing address
19204 N 93RD WAY, SCOTTSDALE, AZ 85255-5528
(480) 280-7007
(480) 821-9555
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036-087704
IL
207RI0200X
Infectious Disease Physician
Primary
04-25365
KS
207RI0200X
Infectious Disease Physician
112403
MO
207RI0200X
Infectious Disease Physician
37316
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240491
—
AZ
01
—
37316
LICENSE
AZ
Enumeration date
06/10/2006
Last updated
05/20/2008
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