Jacob Kiran Oommen MD

NPI 1669676243 - Radiology - 2085R0202X

NPI Details
NPI 1669676243
Gender Male
Enumeration Date 06/14/2007
Last Updated 06/22/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
411 GULLY RANCH CT
DICKINSON TX, 77539-7279, US
Phone (952) 595-1100
Fax (612) 294-4903
Business Location
11995 SINGLETREE LN
SUITE 500
EDEN PRAIRIE MN, 55344-5347, US
Phone (952) 595-1301
Fax (612) 294-4903
Toxanomy
Taxonomy Code 2085R0202X
License State Texas
License Number N6949
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According to our database, Dr. Jacob Kiran Oommen MD NPI is 1669676243, taxonomy code is 2085R0202X and license number is N6949, license state is located at Texas. Jacob Kiran Oommen MD physically located at 411 Gully Ranch Ct, Dickinson TX, 77539-7279. NPI Number Jacob Kiran Oommen MD has the Individual type.

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1669676243 NPI number is provided on an as is basis without warranty of any kind. 1669676243 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Kiran Oommen MD are for informational purposes only.