Jaisy Jacob
Jaisy Jacob is a Diagnostic Radiology in Detroit, Michigan. Qualified in 2011, 15 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 15
- Licensed in
- MI
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
4100 John R StDetroit, MI 48201-2013
Phone: (313) 576-9900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3601 W 13 Mile Rd, Royal Oak, MI 48073 — (248) 898-6031
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 4301107800 (MI) |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X · Licence 4301107800 (MI) |
Record details
| NPI number | 1639468614 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 30, 2011 |
| Last updated in NPPES | May 13, 2022 |
| Certification date | May 13, 2022 |
| Mailing address | 4100 John R St, Detroit, MI 48201-2013 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Henry Ford Health System — 2540 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Detroit
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Subhash Chander, MD
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Dr. Lakshya Sehgal, MD
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