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

Sodaran P Jacob, MD

Individual provider Internal Medicine Physician · NPI 1376568717

Sodaran P Jacob, MD is an Internal Medicine Physician in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
Specialties on file
2
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

801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-6463
Fax: (505) 609-6474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD2006-0732 (NM)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD2006-0732 (NM)

Record details

NPI number1376568717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 31, 2017

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