Mithun G Jacob, MD
Internal Medicine in Springfield, Massachusetts
1912519489- Practice location
- 759 Chestnut St Ste C3350, Springfield, MA 01107-1619
- Phone
- 413-794-6297
- Fax
- 413-794-1767
- Last updated
- June 30, 2024
Mithun George Jacob is an Internal Medicine based in Springfield, MA. Mithun George Jacob practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Mithun George Jacob is 1912519489 and holds a License No. 1015486 (MA). The current practice location address for Mithun George Jacob is 759 Chestnut St Ste C3350, Springfield, MA 01107-1619 and can be reached out via phone at 413-794-6297 and via fax at 413-794-1767.
Provider Profile Details
- NPI Number
- 1912519489
- Provider Name
- Mithun George Jacob
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 759 Chestnut St Ste C3350, Springfield, MA 01107-1619
- Phone Number
- 413-794-6297
- Fax Number
- 413-794-1767
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 17, 2020
- Last Update Date
- June 30, 2024
- Certification Date
- June 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 759 Chestnut St Ste C3350
Springfield, MA 01107-1619 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1619
- Phone Number
- 413-794-6297
- Fax Number
- 413-794-1767
Provider Business Mailing Address Details
- Address
- 280 Chestnut St Fl 2
Springfield, MA 01199-1001 - City
- Springfield
- State
- MA
- Zip
- 01199-1001
- Phone Number
- 413-794-5700
License Information
- License Number (1)
- 1015486
- License State (1)
- MA
- Taxonomy (1)
- Hospitalist · 208M00000X
- License Number (2)
- 1015486
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mithun G Jacob, MD?
The NPI number of Mithun G Jacob, MD is 1912519489. It was assigned on August 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Mithun G Jacob, MD?
Mithun G Jacob, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 1015486.
Where does Mithun G Jacob, MD practice?
The practice location is 759 Chestnut St Ste C3350, Springfield, MA 01107-1619. The office can be reached at 413-794-6297 (phone) or 413-794-1767 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912519489 directly on the NPPES registry website.