Vadakekalam, Jacob

Vadakekalam, Jacob is an individual health care provider with primary practice located at 5107 Medical Dr , San Antonio TX 78229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Vadakekalam, Jacob can be contacted via phone (210) 614-8612.

Contact Information

Primary practice address
5107 Medical Dr San Antonio TX 78229
Phone: (210) 614-8612
Fax: (210) 615-1666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X K9443 Texas

Profile Details

NPI number 1316904139
LBN Legal business name Vadakekalam, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 27th, 2023 - about last year

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 1316904139 NPPES
Texas MEDICAID 042891401

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