Provider Demographics
NPI:1922366954
Name:NEBOORI, SHUBHA (MD)
Entity type:Individual
Prefix:DR
First Name:SHUBHA
Middle Name:
Last Name:NEBOORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHUBHA
Other - Middle Name:
Other - Last Name:BHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:179 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301
Practice Address - Country:US
Practice Address - Phone:570-421-8526
Practice Address - Fax:570-421-7899
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468909207R00000X
CAA150449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine