Ninan, Jacob A

Ninan, Jacob A is an individual health care provider with primary practice located at 4660 Kenmore Ave Ste 1018 , Alexandria VA 22304-1306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ninan, Jacob A can be contacted via phone (703) 208-3155.

Contact Information

Primary practice address
4660 Kenmore Ave Ste 1018 Alexandria VA 22304-1306
Phone: (703) 208-3155
Fax: (703) 823-5723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101248453 Virginia

Profile Details

NPI number 1427009083
LBN Legal business name Ninan, Jacob A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 24th, 2022 - about 2 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 1427009083 NPPES
Virginia MEDICAID 1427009083

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