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Ashwin Jacob, MD

Student in an Organized Health Care Education/Training Program in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1023969847
StatusActive
Last updated in NPPESFeb 6, 2026

Details

NPI
1023969847
Entity type
Individual (NPI-1)
Name
Ashwin Jacob
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 6, 2026
Certification date
Feb 6, 2026
Last updated
Feb 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018

Phone 405-271-2316

Mailing address

3441 E Robin Ln
Gilbert, AZ 85296-1846

Phone 480-494-3589

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