Sodaran P Jacob (NPI# 1376568717, PAC ID# 5799754891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1376568717 |
| PAC ID by PECOS | 5799754891 |
| Professional Enrollment ID | I20070421000035 |
| Full Name | Sodaran P Jacob |
| Organization Legal Name | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. |
| Address |
1901 Red Rock Dr Gallup NM 87301-5683 |
| Phone Number | 5058637000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759293855 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320005 | SAN JUAN REGIONAL MEDICAL CENTER |
| 320038 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 801 W Maple St, Farmington, NM 87401-5630 | 5056096463 | SAN JUAN REGIONAL MEDICAL CENTER INC |
| 1901 Red Rock Dr, Gallup, NM 87301-5683 | 5058637000 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. |
| Organization Legal Name | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Spiva | Podiatry | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Bharati S Kalyani | Orthopedic Surgery | Rehoboth Mckinley Christian Health Care Services, Inc. | 1900 Red Rock Dr, Gallup, NM 87301-5682 |
| Vikram Alladi | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Charles Js Guimaraes | General Surgery | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Stefan J Chimoskey | Sleep Medicine | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Samantha Alexis Miller | Physician Assistant | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Paula Suzanne Macian | Psychologist, Clinical | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Josephine Dosier | Certified Registered Nurse Anesthetist (crna) | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Aedra D Andrade | Family Medicine | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Jose Aruiza | Nurse Practitioner | Rehoboth Mckinley Christian Health Care Services, Inc. | 2111 College Dr, Gallup, NM 87301-5600 |
| Street Address |
1901 RED ROCK DR |
| City | GALLUP |
| State | NM |
| Zip | 87301-5683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vikram Alladi | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Josephine Dosier | Certified Registered Nurse Anesthetist (crna) | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Thomas H Reif | Internal Medicine | App of New Mexico Hm Pllc | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Ayodele O Erinle | Nephrology | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Tracy Cole Ratzlaff | Certified Registered Nurse Anesthetist (crna) | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Alberto Gonzalez-villaverde | Diagnostic Radiology | On-line Radiology Medical Group Inc | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Maher Belmamoun | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Eduardo M Gonzales Jr. | Nurse Practitioner | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Tahir Mahmood | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, Inc. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Constance A Hardy | Internal Medicine | App of New Mexico Hm Pllc | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Keleher | Nurse Practitioner | Modern Vascular - Navajo LLC | 1580 Hwy 264, Suite B, Gallup, NM 87301-3302 |
| Lynn S.b. Torres | Physical Therapy | Therapy Mobz LLC | 106 Boardman Dr, Gallup, NM 87301-4801 |
| Jeremias Torres | Physical Medicine and Rehabilitation | Therapy Mobz LLC | 106 Boardman Dr, Gallup, NM 87301-4801 |
| Anandan Swaminathan | Cardiovascular Disease (cardiology) | 2028 E Aztec Ave, Gallup, NM 87301-4804 | |
| Bonnie Baxter | Nurse Practitioner | Rmchcs Urgent Care, LLC | 520 Nm Hwy 564, Gallup, NM 87301-4873 |
| Floyd G Bodden | Physician Assistant | Rmchcs Urgent Care, LLC | 520 Nm Hwy 564, Gallup, NM 87301-4873 |
| Sherry Lee Young | Nurse Practitioner | Rmchcs Urgent Care LLC | 520 Nm Hwy 564, Gallup, NM 87301-4873 |
| Anthony Lionel Arviso | Physical Therapy | 1900 E Hwy 66, Suite 1, Gallup, NM 87301-4883 | |
| David C Mckenzie | Family Medicine | 1808 E Aztec Ave, Suite 6, Gallup, NM 87301-4946 | |
| Lawrence A Decker | Physician Assistant | Gallup Quick Clinic PC | 1850 E Hwy 66, Gallup, NM 87301-4955 |
| Find all physicians in zip 87301 | |||
| City | GALLUP |
| Zip Code | 87301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GALLUP + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sodaran P Jacob.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.