Provider Demographics
NPI:1851314041
Name:SARKAR, NIBAR KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NIBAR
Middle Name:KUMAR
Last Name:SARKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 SHAWNEE RIDGE LANE
Mailing Address - Street 2:
Mailing Address - City:CINCINANTI
Mailing Address - State:OH
Mailing Address - Zip Code:45243
Mailing Address - Country:US
Mailing Address - Phone:513-984-2300
Mailing Address - Fax:513-984-2353
Practice Address - Street 1:9200 MONTGOMERY ROAD
Practice Address - Street 2:SUITE 3A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-984-2300
Practice Address - Fax:513-984-1010
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034277S207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0204915Medicaid
OH0204915Medicaid
C03193Medicare UPIN