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Dr. Sandhya Jacob, MD
Diagnostic Radiology Physician in Tacoma, Washington
NPI 1619395100

Sandhya Jacob is a Diagnostic Radiology Physician based in Tacoma, WA and is specialized in Diagnostic Radiology. Sandhya Jacob practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Sandhya Jacob is 1619395100 and holds a License No. MD60949842 (Washington).

The current practice location address for Sandhya Jacob is 1304 Fawcett Ave Ste 100, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-761-4201.

Location: 1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619395100
Provider Name
Sandhya Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Phone Number
253-761-4200
Fax Number
253-761-4201
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0422789 01 WA L&I-TRA-KING
0422792 01 WA L&I-DIAGNOSTIC IMAGING NW
2133414 05 WA
0422785 01 WA L&I-TRA-REST OF WA
0422790 01 WA L&I-UNION AVENUE OPEN MRI
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave Ste 100
City
Tacoma
State
Washington
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave Ste 100
City
Tacoma
State
Washington
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD60949842 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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