Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN MIRANDILLA JACOB, MD
ActiveDR. GLEN MIRANDILLA JACOB, MD is a Internal Medicine healthcare provider located in LARGO, Maryland. NPI 1780757062 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · LARGO, MD
Registration Details
- NPI Number
- 1780757062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.760777638147 yrs)
- Last Updated
- Feb 23, 2022
- Licenses
-
MD034269 (DC)9880 (NM)D59633 (MD)D59633 (MD)
Practice Information
- Address
-
1221 MERCANTILE LANELARGO, MD, 207745374Browse MD providers · Browse ZIP 20774
- Phone
- 3016185578
- Fax
- 3016185673
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in LARGO, MD
| Name | Credential | NPI |
|---|---|---|
| DR. LINDA F. SLOAN | M.D. | 1699764977 |
| DR. DOREEN BLAKE | M.D. | 1043209331 |
| ELIZABETH BIRU | MD | 1457342230 |
| DR. GEORGE HERBERT BONE | MD | 1528028297 |
| CHRISTOPHER PASH | M.D. | 1639121262 |
| MELISANDE C SMITH | M.D. | 1942247648 |
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.