Jacob Manjooran, Md, P.C.

LBN: Jacob Manjooran, Md, P.C.
Jacob Manjooran, Md, P.C. is an health care organization with primary practice located at 3680 E Sunset Rd Ste 100 , Las Vegas NV 89120-7219. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Jacob Manjooran, Md, P.C. can be contacted via phone (702) 855-0748, or through Manjooran, Jacob via phone (702) 480-7825.

Contact Information

Primary practice address
3680 E Sunset Rd Ste 100 Las Vegas NV 89120-7219
Fax: (702) 486-4531
Website:
Authorized official contact:
Name: Manjooran, Jacob Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 11276 Nevada

Profile Details

NPI number 1720346828
LBN Legal business name Jacob Manjooran, Md, P.C.
DBA Doing business as
Authorized official Manjooran, Jacob Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated Jun 3rd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720346828 NPPES
Other CC7754 BLUE CROSS BLUE SHIELD
MEDICAID 100506295 BLUE CROSS BLUE SHIELD

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