DR. Jacob Isaiah Maddela, MD

NPI #1538652813 in Moneta, Virginia

Provider Information

NPI Number: 1538652813
Entity Type: Individual
Name: DR. Jacob Isaiah Maddela, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 11, 2018
Last Updated: Oct 22, 2021

Practice Location

Address: 4830 RUCKER RD
City: Moneta
State: Virginia
ZIP Code: 24121-5281
Phone: (540) 297-7181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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