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NPI Code Detail

MEDICARE: JACOB M REDEL MD

MEDICARE: JACOB M REDEL MD
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
1208000000XPediatrics Physician35.121290OH
22080P0205XPediatric Endocrinology Physician35.121290OH
32080P0205XPediatric Endocrinology Physician04-43051KS
42080P0205XPediatric Endocrinology Physician2020011238MO

General Provider Information

NPI Number : 1588954655
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB M REDEL MD
Provider Business Mailing Address
First Line : 1500 SW 10TH AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66604-1301
Country : US
Telephone Number : 785-354-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SW 10TH AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66604-1301
Country : US
Telephone Number : 785-354-6000
Fax Number : 785-354-0542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 03/02/2026

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