Raji Jacob is a Nephrology in Peoria, Illinois. Raji Jacob practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Raji Jacob is 1538325477. The last update date is 2021-11-15.
Raji Jacob's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Raji Jacob is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raji Jacob |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538325477 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033168 |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 36134553 |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Raji Jacob by the Centers for Medicare & Medicaid Services (CMS)?
The Raji Jacob has been assigned the NPI (National Provider Identifier) 1538325477. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Raji Jacob located?
The Raji Jacob is located at 420 Ne Glen Oak Ave, Peoria, IL 616033168.
What is the Raji Jacob's specialty and taxonomy code?
The Raji Jacob's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
When was the Raji Jacob's 1538325477 issued?
The Raji Jacob's 1538325477 was issued on 2008-07-30.
When was the Raji Jacob's information last updated?
The Raji Jacob's information was last updated on 2021-11-15.