Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Tannenbaum, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891555348

Jacob Tannenbaum, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St # 800422
Charlottesville, VA 22908-0816
Phone: (434) 924-2224
Fax: (434) 244-9481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891555348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address1215 Lee St # 800422, Charlottesville, VA 22908-0816

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