Provider Demographics
NPI:1710929351
Name:NAMBIAR, KRIPA (MD)
Entity type:Individual
Prefix:
First Name:KRIPA
Middle Name:
Last Name:NAMBIAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 DUTCHTOWN HARLINGEN ROAD
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502
Mailing Address - Country:US
Mailing Address - Phone:908-874-8883
Mailing Address - Fax:908-874-3595
Practice Address - Street 1:9 DUTCHTOWN HARLINGEN ROAD
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502
Practice Address - Country:US
Practice Address - Phone:908-874-8883
Practice Address - Fax:908-874-3595
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01074853A207Q00000X
NJ25MA07828200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ092859DCHMedicare ID - Type Unspecified
I35400Medicare UPIN