Provider Demographics
NPI:1912268616
Name:NABAR, MANASI MALVANKAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MANASI
Middle Name:MALVANKAR
Last Name:NABAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MANSI
Other - Middle Name:MALVANKAR
Other - Last Name:NABAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:220 E HACIENDA AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-6617
Mailing Address - Country:US
Mailing Address - Phone:408-871-6500
Mailing Address - Fax:
Practice Address - Street 1:220 E HACIENDA AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-6617
Practice Address - Country:US
Practice Address - Phone:408-871-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135882207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine