Individual
DR. ABHILASH P NAMBIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4611 E SHEA BLVD STE 120, PHOENIX, AZ 85028-4255
(602) 441-3845
Mailing address
4611 E SHEA BLVD STE 120, PHOENIX, AZ 85028-4255
(602) 441-3845
(602) 464-9769
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
247548
NY
2085R0001X
Radiation Oncology Physician
4301082079
MI
2085R0001X
Radiation Oncology Physician
Primary
50323
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011504
—
AZ
05
—
02953235
—
NY
01
—
3127628
CIGNA
AZ
01
—
6531
MERCY CARE PLAN
AZ
01
—
9511141
AETNA
AZ
01
—
P01508278
RAILROAD MEDICARE
FL
Enumeration date
05/22/2007
Last updated
04/21/2021
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