JACOB GHANNAM JR., MD
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1629631213
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | 4301505324 (MI) |
Frequently Asked Questions
NPI 1629631213 is the National Provider Identifier for JACOB GHANNAM JR., MD, a Radiology - Diagnostic Radiology provider located in Royal Oak, MI. This NPI was enumerated on April 18, 2019.
JACOB GHANNAM JR., MD practices at 3601 W 13 MILE RD, Royal Oak, MI 48073.
Quick Facts
- NPI
- 1629631213
- Type
- Individual
- Enumerated
- Apr 18, 2019
- Last Updated
- Aug 5, 2025
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