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NPI Code Detail

MEDICARE: DR. HUMERA NISAR MD

MEDICARE: DR. HUMERA NISAR 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
1207RN0300XNephrology Physician4301095344MI
2207RN0300XNephrology PhysicianA116292CA

General Provider Information

NPI Number : 1164685863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUMERA NISAR MD
Provider Business Mailing Address
First Line : 521 PARNASSUS AVE # C443
Second Line : BOX 0532
City : SAN FRANCISCO
State : CA
Zip : 94143-2206
Country : US
Telephone Number : 415-476-1812
Fax Number : 415-476-3381
Provider Business Practice Location Address
First Line : 521 PARNASSUS AVE # C443
Second Line : BOX 0532
City : SAN FRANCISCO
State : CA
Zip : 94143-2206
Country : US
Telephone Number : 415-476-1812
Fax Number : 415-476-3381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 12/22/2021

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Directions to “ DR. HUMERA NISAR MD” Practice Location

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