Jacob Manjooran is a Psychiatry in Las Vegas, Nevada. Jacob Manjooran practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jacob Manjooran is 1508863374. The last update date is 2017-10-31.
Jacob Manjooran's current location address is 3016 W Charleston Blvd Ste 150, Las Vegas, Nevada. You can contact this provider via phone number 7027902701. The mailing address for Jacob Manjooran is 3016 W Charleston Blvd Ste 150, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Manjooran |
|---|---|
| Address | 3016 W Charleston Blvd Ste 150, Las Vegas, Nevada |
| Phone Number | 7027902701 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508863374 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2017-10-31 |
Provider Mailing Address Detail
| Address | 3016 W Charleston Blvd Ste 150 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891021964 |
| Phone Number | 7027902701 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 11276 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC7754 | BLUE CROSS BLUE SHIELD | ||
| 100506295 | NV | -- |
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What is the unique 10-digit identification code issued to Jacob Manjooran by the Centers for Medicare & Medicaid Services?
The Jacob Manjooran has been assigned the NPI (National Provider Identifier) 1508863374 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 Jacob Manjooran?
The Jacob Manjooran is physically situated at 3016 W Charleston Blvd Ste 150, in the city of Las Vegas, state of NV, with the postal code 891021964.
What is Jacob Manjooran's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacob Manjooran is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Jacob Manjooran receive the assignment of its 1508863374 from the Centers for Medicare & Medicaid Services?
The Jacob Manjooran was issued its 1508863374 by the Centers for Medicare & Medicaid Services on 2005-07-07.
When was the information related to Jacob Manjooran most recently updated or refreshed?
The details pertaining to the Jacob Manjooran, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-10-31.