Individual provider · Type 1 NPI
Shushan Jacob, MD
Surgery of the Hand (Surgery) Physician · North Las Vegas, NV
NPI number
1114119542
Active
Practice location
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
2140 E Southlake Blvd Ste L-605
Southlake, TX 76092-6516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | N7548 (TX) |
| Surgery of the Hand (Surgery) Physician Primary | 2086S0105X | N7548 (TX) |
Surgery of the Hand (Surgery) Physician: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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About NPI 1114119542
Shushan Jacob, MD's National Provider Identifier is 1114119542, issued on Aug 9, 2007. The primary taxonomy on file is Surgery of the Hand (Surgery) Physician (2086S0105X), and the practice location is in North Las Vegas, NV. The record was last updated on Feb 27, 2025.