Provider Demographics
NPI:1881877421
Name:SABNIS, VINAYAK MAHADEO (MD)
Entity type:Individual
Prefix:
First Name:VINAYAK
Middle Name:MAHADEO
Last Name:SABNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VINAYAK
Other - Middle Name:M
Other - Last Name:SABNIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,PA
Mailing Address - Street 1:301 STONE HARBOR BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2125
Mailing Address - Country:US
Mailing Address - Phone:609-465-2221
Mailing Address - Fax:609-465-4939
Practice Address - Street 1:301 STONE HARBOR BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2125
Practice Address - Country:US
Practice Address - Phone:609-465-2221
Practice Address - Fax:609-465-4939
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA039895208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3126307Medicaid
NJ020002214OtherRAILROAD MEDICARE
NJC54497Medicare UPIN
NJ3126307Medicaid