Individual provider · Type 1 NPI

Derek Prainorut Jakes, MD

Diagnostic Radiology Physician · Greenville, SC

NPI number 1124066527 Active

Practice location

1210 W Faris Rd
Greenville, SC 29605-4444

Call (864) 522-1800 Map

Fax (864) 522-1806

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X27795 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1124066527

Derek Prainorut Jakes, MD's National Provider Identifier is 1124066527, issued on Jun 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Greenville, SC. The record was last updated on Mar 7, 2023.