Individual
MINA AYAD JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,FACC,FSCAI
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
31294
AL
207RC0000X
Cardiovascular Disease Physician
31294
AL
207RI0011X
Interventional Cardiology Physician
31294
AL
2086S0129X
Vascular Surgery Physician
Primary
31294
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000946844
—
GA
05
—
000946844K
—
GA
05
—
000946844L
—
GA
05
—
000946844O
—
GA
05
—
000946844P
—
GA
05
—
000946844Q
—
GA
05
—
000946844R
—
GA
05
—
000946844X
—
GA
05
—
00946844A
—
GA
05
—
167695
—
AL
Enumeration date
05/19/2006
Last updated
02/18/2021
Update your record
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