NPI 1376568717
Sodaran P Jacob, MD
Practice location
- Address
- 801 W Maple St, Farmington, NM 87401-5630
- Phone
- (505) 609-6463
- Fax
- (505) 609-6474
- Mailing address
- PO Box 6210, Farmington, NM 87499-6210
Registered specialties (2)
Hospitalist Physician
Primary
Internal Medicine Physician
Registry record
- NPI
- 1376568717
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jul 2006
- Record last updated
- 31 Jul 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.