Sanjivini Vishwas Jacob in Chattanooga - Addiction Medicine
Sanjivini Vishwas Jacob - NPI 1629234521
Sanjivini Vishwas Jacob is a Addiction Medicine in Chattanooga, Tennessee. Sanjivini Vishwas Jacob practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Sanjivini Vishwas Jacob is 1629234521. The last update date is 2023-07-17.
Sanjivini Vishwas Jacob's current location address is 6141 Shallowford Rd Ste 100, Chattanooga, Tennessee. You can contact this provider via phone number 4234982000 and fax number 4234982001. The mailing address for Sanjivini Vishwas Jacob is 6141 Shallowford Rd Ste 100, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sanjivini Vishwas Jacob |
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Address | 6141 Shallowford Rd Ste 100, Chattanooga, Tennessee |
Phone Number | 4234982000 |
Fax Number | 4234982001 |
Sole Proprietor | N |
Credentials | M. D. |
NPI Number Detail
NPI Number | 1629234521 |
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Provider Enumeration Date | 2008-07-31 |
Last Updated Date | 2023-07-17 |
Provider Mailing Address Detail
Address | 6141 Shallowford Rd Ste 100 |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 374211663 |
Phone Number | 4234982000 |
Fax Number | 4234982001 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 2083A0300X |
Licence No | 44848 |
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Q047258 | TN | -- |
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What is the unique 10-digit identification code issued to Sanjivini Vishwas Jacob by the Centers for Medicare & Medicaid Services?
The Sanjivini Vishwas Jacob has been assigned the NPI (National Provider Identifier) 1629234521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Sanjivini Vishwas Jacob?
The Sanjivini Vishwas Jacob is physically situated at 6141 Shallowford Rd Ste 100, in the city of Chattanooga, state of TN, with the postal code 374211663.
What is the Sanjivini Vishwas Jacob's specialty and taxonomy code?
The Sanjivini Vishwas Jacob's specialty is Addiction Medicine, and the corresponding taxonomy code is 2083A0300X.
When did Sanjivini Vishwas Jacob receive its 1629234521 assignment?
The Sanjivini Vishwas Jacob was assigned its 1629234521 on 2008-07-31, which is the date when this unique identifier was issued to the organization.
As of what date were the Sanjivini Vishwas Jacob's details last updated?
The information pertaining to the Sanjivini Vishwas Jacob, including its address, specialty, and other details, was most recently updated on 2023-07-17.
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