-- SODARAN P JACOB MD ⚕️ New Mexico 1376568717

NPI	1376568717
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	208M00000X Hospitalist (Licence: NM MD2006-0732)
Additional Taxonomies	207R00000X Internal Medicine (Licence: NM MD2006-0732)
Enumeration Date	2006-07-13
Last Update Date	2017-07-31

-- SODARAN P JACOB MD

801 W MAPLE ST

FARMINGTON, NM 87401-5630

Phone number: 505-609-6463

-- SODARAN P JACOB MD

PO BOX 6210

FARMINGTON, NM 87499-6210

Phone number: 505-609-2258