Whalio Doctors

NPI 1376568717

Sodaran P Jacob, MD

Practitioner Hospitalist Physician Farmington, NM

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
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence MD2006-0732 (NM)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD2006-0732 (NM)

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.