Provider Demographics
NPI:1861495988
Name:JAKABOVICS, EVA (MD)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:JAKABOVICS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 SHELBYVILLE RD
Mailing Address - Street 2:STE 220
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2992
Mailing Address - Country:US
Mailing Address - Phone:502-429-8585
Mailing Address - Fax:855-656-7325
Practice Address - Street 1:470 SENTRY PKWY E
Practice Address - Street 2:STE 200
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2324
Practice Address - Country:US
Practice Address - Phone:610-825-5800
Practice Address - Fax:610-397-0980
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042108E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA697988Medicare ID - Type Unspecified
PAF06565Medicare UPIN