Jacob, Pradeep K

Jacob, Pradeep K is an individual health care provider with primary practice located at 210 25Th Ave N Ste 1204 , Nashville TN 37203-1620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jacob, Pradeep K can be contacted via phone (615) 312-0600.

Contact Information

Primary practice address
210 25Th Ave N Ste 1204 Nashville TN 37203-1620
Fax: (615) 320-3259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD35336 Tennessee

Profile Details

NPI number 1306849765
LBN Legal business name Jacob, Pradeep K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306849765 NPPES
Tennessee MEDICAID 3865712

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