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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1508863374 NPPES
Nevada MEDICAID 100506295
Nevada Other CC7754

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