Dr. Annamma J Jacob
Allergist & Immunologist Allergist
1635 N George Mason Dr Ste 240
Arlington
, Virginia 22205-3681
Dr. Annamma J Jacob
Allergist & Immunologist Allergist
1635 N George Mason Dr Ste 240
Arlington
, Virginia 22205-3681
(703) 522-4915
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
Languages spoken
- English
Location
First Address
- Dr. Annamma J Jacob
- 1635 N George Mason Dr Ste 240
- Arlington, VA
- Zip : 22205-3681
- Fax : (703) 522-4915
- Phone : (703) 528-1329
Second Address
- Dr. Annamma J Jacob
- 1635 N George Mason Dr Ste 240
- Arlington, VA
- Zip : 22205-3681
- Fax : (703) 522-4915
- Phone : (703) 528-1329
Reviews
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Is Dr. Annamma J Jacob a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 0101034078 | VA |
| Y | 207KA0200X | Allergist | 0101034078 | VA |
National Provider Identifier
| NPI | 1386668903 |
|---|---|
| Provider Name | Dr. Annamma J Jacob |
| First Address | Arlington, VA 22205-3681 |
| Second Address | Arlington, VA 22205-3681 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 26/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 081723 | ANTHEM (01) | |
| 29164 | M.D.I.P.A (01) | |
| 54-1272326 | UNITED HEALTHCARE (01) | |
| 60-4923-1 | (05) | VA |
| 8803 | CAREFIRST BLUE CROSS BLUE (01) | |
| D18033 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.