Manjooran, Jacob
Manjooran, Jacob is an sole proprietor health care provider with primary practice located at 8950 W Tropicana Ave Ste 1 , Las Vegas NV 89147-8138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Manjooran, Jacob can be contacted via phone (702) 790-2701.Contact Information
Primary practice address
8950 W Tropicana Ave Ste 1
Las Vegas NV 89147-8138
Phone: (702) 790-2701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 11276 | Nevada |
Profile Details
| NPI number | 1508863374 |
|---|---|
| LBN Legal business name | Manjooran, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Apr 10th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508863374 | NPPES |
| Nevada | MEDICAID | 100506295 | |
| Nevada | Other | CC7754 |
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