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Jessie K Jacob, MD
Diagnostic Radiology Physician in Palo Alto, California
NPI 1083644223

Jessie K Jacob is a Diagnostic Radiology Physician based in Palo Alto, CA and is specialized in Diagnostic Radiology. Jessie K Jacob practices in Palo Alto, CA and has the professional credentials of MD. The NPI Number for Jessie K Jacob is 1083644223 and holds a License No. 242480 (California).

The current practice location address for Jessie K Jacob is 2421 Park Blvd Ste B202, Palo Alto, CA and can be reached out via phone at 650-617-8655.

Location: 2421 Park Blvd Ste B202, Palo Alto, CA, 94306-1956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083644223
Provider Name
Jessie K Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2421 Park Blvd Ste B202, Palo Alto, CA, 94306-1956
Phone Number
650-617-8655
Fax Number
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A107083 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2421 Park Blvd Ste B202
City
Palo Alto
State
California
Zip
94306-1956
Phone Number
650-617-8655
Fax Number
person
Provider Business Mailing Address Details
Address
2421 Park Blvd Ste B202
City
Palo Alto
State
California
Zip
94306-1956
Phone Number
650-617-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
242480 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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