PRABHAKARAN K NAMBIAR (NPI# 1386662203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386662203 |
| Entity Type | Individual |
| Full Name | PRABHAKARAN K NAMBIAR |
| Credential | MD |
| Practice Address |
95 Medical Park Blvd Petersburg VA 23805-9280 |
| Mailing Address |
Po Box 3087 Petersburg VA 23805-3087 |
| Practice Telephone | 8045048100 |
| Practice Fax Number | 8048610050 |
| Mailing Telephone | 8045048100 |
| Mailing Fax Number | 8048610050 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
0101038579 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
95 MEDICAL PARK BLVD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636894 | Redouane Goulmamine | Physical Medicine & Rehabilitation | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2005-08-12 |
| 1538625058 | Christina Mason | Occupational Therapist | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2019-02-20 |
| 1467900167 | Golden Physician Partners, LLC | Physical Medicine & Rehabilitation | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2016-09-12 |
| 1184020828 | Ellyse Johns | Physical Therapist | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2014-11-07 |
| 1922417237 | Emily Ashley | Family Medicine | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2014-08-12 |
| 1477846640 | Midlothian Rehabilitation Associates Pllc | Physical Medicine & Rehabilitation | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2011-05-22 |
| 1497872980 | Team Rehab, Inc | Specialist | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2007-03-22 |
| 1245392190 | Tri-city Health Care LLC | Internal Medicine | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2006-12-15 |
| 1114960846 | Loknath Shandilya | Internal Medicine | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2006-06-13 |
| 1235110511 | Martin W Yee | Physical Medicine & Rehabilitation | 95 Medical Park Blvd, Petersburg, VA 23805-9280 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417165143 | Steven Deschner | Physical Medicine & Rehabilitation | 7489 Right Flank Rd, Suite 300, Mechanicsville, VA 23116-3845 | 2007-05-18 |
| 1326096470 | Kenneth Edward Moore | Physical Medicine & Rehabilitation | Mcguire Vamc, 1201 Broad Rock Rd, Richmond, VA 23249 | 2006-05-04 |
| 1275928426 | Elisabeth Katherine Acker | Physical Medicine & Rehabilitation | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-04-04 |
| 1295942332 | Deborah Caruso | Physical Medicine & Rehabilitation | 1201 Broad Rock Blvd, Spinal Cord Injury, Richmond, VA 23249-0001 | 2007-05-17 |
| 1346355054 | Lance L. Goetz | Physical Medicine & Rehabilitation | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2006-08-20 |
| 1770517807 | Mcv Associated Physicians | Physical Medicine & Rehabilitation | 1250 E Marshall Street, Mcv Hospitals Vcu Medical Center, Richmond, VA 23298-0510 | 2006-07-11 |
| 1518921238 | Kenneth William Waller | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-04-12 |
| 1932161171 | Anthony Vincent Cassini | Physical Medicine & Rehabilitation | 100 Emancipation Dr, 590-128, Hampton, VA 23667-0001 | 2006-04-04 |
| 1154382547 | Laurie Lindblom | Physical Medicine & Rehabilitation | 100 Emancipation Dr, 128, Hampton, VA 23667-0001 | 2006-03-28 |
| City | PETERSBURG |
| Zip Code | 23805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.