Individual
DR. JACOB CHEMMALAKUZHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002010037
MO
207RC0000X
Cardiovascular Disease Physician
2002010037
MO
207RC0000X
Cardiovascular Disease Physician
Primary
M3986
TX
207RI0011X
Interventional Cardiology Physician
2002010037
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181302402
—
TX
05
—
181302403
—
TX
05
—
181302404
—
TX
Enumeration date
07/17/2006
Last updated
03/01/2022
Update your record
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