Provider Demographics
NPI:1326301136
Name:SROUBEK, JAKUB (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JAKUB
Middle Name:
Last Name:SROUBEK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:BETH ISRAEL DEACONESS MEDICAL CENTER
Mailing Address - Street 2:330 BROOKLINE AVENUE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-8800
Mailing Address - Fax:617-632-7620
Practice Address - Street 1:CLEVELAND CLINIC 9500 EUCLID AVENUE / J2-2
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-1715
Practice Address - Fax:216-636-6978
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261698207RC0001X
OH35.138501207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology