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NPI Code Detail

MEDICARE: DR. RICHARD A NUSSER MD

MEDICARE: DR. RICHARD A NUSSER MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianC337330CA
2207RN0300XNephrology PhysicianC337330CA
3207RP1001XPulmonary Disease PhysicianC337330CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013979525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD A NUSSER MD
Provider Business Mailing Address
First Line : 411 30TH ST STE 314
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-465-6800
Fax Number : 510-268-0634
Provider Business Practice Location Address
First Line : 411 30TH ST STE 314
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-465-6800
Fax Number : 510-268-0634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 12/10/2015

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Directions to “ DR. RICHARD A NUSSER MD” Practice Location

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