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NPI Code Detail

MEDICARE: SAJI CHERIYAN JACOB M.D.

MEDICARE: SAJI CHERIYAN JACOB M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician22729AL

General Provider Information

NPI Number : 1275537169
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAJI CHERIYAN JACOB M.D.
Provider Business Mailing Address
First Line : 2022 BROOKWOOD MEDICAL CTR DR
Second Line : ACC - SUITE 415
City : BIRMINGHAM
State : AL
Zip : 35209-6808
Country : US
Telephone Number : 205-250-6964
Fax Number :
Provider Business Practice Location Address
First Line : 2022 BROOKWOOD MEDICAL CENTER DR
Second Line : ACC - SUITE 415
City : BIRMINGHAM
State : AL
Zip : 35249-1900
Country : US
Telephone Number : 205-250-6964
Fax Number : 205-250-8916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 02/25/2013

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