| Doctor Name: | ANANTH P NABHA |
| NPI Number: | 1962435404 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M>D> |
| License Number: | C10001599 |
| Business Practice Address: | 2006 Limestone Rd Suite 1 Wilmington, DE - 198085553 |
| Business Phone Number: | 3029990105 |
| Business Fax Number: | 3029981905 |
| Mailing Address: | 2006 Limestone Rd, Suite 1 WILMINGTON |
| State: | DE |
| Postal Code: | 198085553 |
| Phone Number: | 3029990105 |
| Fax Number: | 3029981905 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C10001599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |