Chemmalakuzhy, Jacob
Chemmalakuzhy, Jacob is an individual health care provider with primary practice located at 6750 N Macarthur Blvd Ste 201, Irving TX 75039-2470. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Chemmalakuzhy, Jacob can be contacted via phone (972) 428-3298.Contact Information
Primary practice address
6750 N Macarthur Blvd Ste 201
Irving TX 75039-2470
Phone: (972) 428-3298
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2002010037 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2002010037 | Missouri |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2002010037 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M3986 | Texas |
Profile Details
| NPI number | 1992723241 |
|---|---|
| LBN Legal business name | Chemmalakuzhy, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 1st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992723241 | NPPES |
| Texas | MEDICAID | 181302403 | |
| Texas | MEDICAID | 181302402 | |
| Texas | MEDICAID | 181302404 |
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