Nicholas Jeremy Cajacob, M.D.
Pediatrics, Pediatric Gastroenterology in Birmingham, AL. Individual provider (NPI-1).
NPI number1346568664
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1346568664
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Jeremy Cajacob
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2010
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | MD.31444 | AL | Yes |
| 208000000X | Pediatrics | MD.31444 | AL |
Practice location
1600 7th Ave South McWane 5604Birmingham, AL 35249-1900
Phone 205-638-9918
Mailing address
1600 7th Ave South McWane 5604Birmingham, AL 35249-1900
Phone 205-638-9918
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