Dalal Farid Jacob, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Newport, Arkansas. Dalal Farid Jacob is licensed to practice in Arkansas (license number R-3150) and her current practice location is 1224 Cherokee Dr, Newport, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 523-5360.
NPI number for Dalal Farid Jacob is 1427303437 and her current mailing address is 1224 Cherokee Dr, Newport, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427303437.
Physician's Profile
| Full Name | Dalal Farid Jacob |
|---|
| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 1224 Cherokee Dr, Newport, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427303437
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 07/16/2012
Medical Identifiers
Medical identifiers for Dalal Farid Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427303437 | NPI | - | NPPES |
| R-3150 | Other | AR | ARKANSAS STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R-3150 (Arkansas) | Primary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | R-3150 (Arkansas) | Secondary |
| 282NR1301X | General Acute Care Hospital - Rural | R-3150 (Arkansas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dalal Farid Jacob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dalal Farid Jacob, MD
1224 Cherokee Dr,
Newport, AR 72112-9998
Ph: (870) 523-5360 | Dalal Farid Jacob, MD
1224 Cherokee Dr,
Newport, AR 72112-9998
Ph: (870) 523-5360 |
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