MEDICARE: DR. SONA NAMBIAR M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	N3205	TX

General Provider Information

NPI Number	:	1083892434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONA NAMBIAR M.D

Provider Business Mailing Address
First Line	:	PO BOX 822368
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75382-2368
Country	:	US
Telephone Number	:	469-400-3501
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 822368
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75382-2368
Country	:	US
Telephone Number	:	469-400-3501
Fax Number	:	877-738-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	08/04/2024

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