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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAISY JACOB

Active

JAISY JACOB is a Diagnostic Radiology healthcare provider located in DETROIT, Michigan. NPI 1639468614 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · DETROIT, MI

Registration Details

NPI Number
1639468614
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2011 (15.381889344796 yrs)
Last Updated
May 13, 2022
Licenses
4301107800 (MI)
4301107800 (MI)

Practice Information

Address
4100 JOHN R ST
DETROIT, MI, 482012013
Browse MI providers · Browse ZIP 48201
Phone
3135769900
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in DETROIT, MI

Name Credential NPI
DONNA PRINCE M.D. 1235132069
PETER JOHN LITTRUP MD 1043206881
GINA FUNDARO M.D. 1275520512
HO KYU LEE MD 1528059664
VJEKOSLAV MIKELIC M.D. 1518946748
JOHN P KALABAT M.D. 1376523092
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.