Provider Demographics
NPI:1457891061
Name:BABBAR, NABIR MOHAN I (DO)
Entity Type:Individual
Prefix:DR
First Name:NABIR
Middle Name:MOHAN
Last Name:BABBAR
Suffix:I
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 SW 14TH AVE APT 606
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-2256
Mailing Address - Country:US
Mailing Address - Phone:703-200-4582
Mailing Address - Fax:
Practice Address - Street 1:2504 SW 14TH AVE APT 606
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-2256
Practice Address - Country:US
Practice Address - Phone:703-200-4582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15235207R00000X
FLUO4855390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine