Provider Demographics
NPI:1609492289
Name:SANKAR, NEIL (MBBS, MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:SANKAR
Suffix:
Gender:M
Credentials:MBBS, MD
Other - Prefix:DR
Other - First Name:NILACANTAN
Other - Middle Name:
Other - Last Name:SANKAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3610 FLORA VISTA AVE APT 238
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3508
Mailing Address - Country:US
Mailing Address - Phone:408-772-4241
Mailing Address - Fax:
Practice Address - Street 1:3610 FLORA VISTA AVE APT 238
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-3508
Practice Address - Country:US
Practice Address - Phone:408-772-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
46-5150071OtherPHARMACEUTICAL