Individual provider · Type 1 NPI

Glen Mirandilla Jacob, MD

Internal Medicine Physician · Largo, MD

NPI number 1780757062 Active

Practice location

1221 Mercantile Lane
Largo, MD 20774-5374

Fax (301) 618-5673

Mailing address

2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XMD034269 (DC)
Internal Medicine Physician 207R00000X9880 (NM)
Geriatric Medicine (Internal Medicine) Physician 207RG0300XD59633 (MD)
Internal Medicine Physician Primary 207R00000XD59633 (MD)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1780757062

Glen Mirandilla Jacob, MD's National Provider Identifier is 1780757062, issued on Nov 16, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Largo, MD. The record was last updated on Feb 23, 2022.