Dr. Glen Mirandilla Jacob, MD
Dr. Glen Mirandilla Jacob, MD is an Internal Medicine in Largo, Maryland. Qualified in 1989, 37 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Maryland and New Mexico.
- Years since qualifying
- 37
- Licensed in
- DC, MD, NM
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1221 Mercantile LnLargo, MD 20774-5374
Phone: (301) 618-5578
Fax: (301) 618-5673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D59633 (MD) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MD034269 (DC) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 9880 (NM) |
| Geriatric Medicine (Internal Medicine) Physician | Taxonomy 207RG0300X · Licence D59633 (MD) |
Record details
| NPI number | 1780757062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 16, 2006 |
| Last updated in NPPES | February 23, 2022 |
| Certification date | February 23, 2022 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 6 on file with Medicare |
Other providers in Largo
-
Fathi Abdel Moniem Fathi Hilal, MD
901 Harry S Truman Dr N, Largo, MD 20774-5477 · (240) 677-0225
-
Tammi Thomas Howard, MD
1221 Mercantile Ln, Largo, MD 20774-5374 · (301) 618-5500
-
Dr. Edwin Kirk Huang, MD
1221 Mercantile Ln, Largo, MD 20774-5374 · (301) 618-5627
-
Dr. Lina Izzeldin, MD
901 Harry S Truman Dr N, Largo, MD 20774-5477 · (240) 677-0225
-
Dr. Carl Johnson, MD
1221 Mercantile Ln, Largo, MD 20774-5374 · (301) 618-5540
-
Dr. Andrew Keenan, MD
901 Harry S Truman Dr N, Largo, MD 20774-5477 · (301) 677-2149
-
Dr. James J Kim, MD
10694 Campus Way S, Largo, MD 20774-1307 · (301) 350-9500
-
Dr. Surendra M Kumar, MD
1100 Mercantile Ln Ste 135, Largo, MD 20774-5380 · (301) 773-9700