Provider Demographics
NPI:1699984583
Name:NAMBIAR, SAPNA SHIBHU (MD)
Entity type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:SHIBHU
Last Name:NAMBIAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 GREEN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2618
Mailing Address - Country:US
Mailing Address - Phone:732-623-9905
Mailing Address - Fax:732-983-5484
Practice Address - Street 1:521 GREEN ST FL 2
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2618
Practice Address - Country:US
Practice Address - Phone:732-623-9905
Practice Address - Fax:732-983-5484
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09554900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics