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NPI Code Detail

MEDICARE: SALMAN NISAR M.D.

MEDICARE:   SALMAN  NISAR  M.D.
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
12080N0001XNeonatal-Perinatal Medicine Physician9943NV

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 : 1215036777
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALMAN NISAR M.D.
Provider Business Mailing Address
First Line : 5586 S FORT APACHE RD
Second Line : STE 100
City : LAS VEGAS
State : NV
Zip : 89148-7682
Country : US
Telephone Number : 702-384-8099
Fax Number : 702-384-3930
Provider Business Practice Location Address
First Line : 5586 S FORT APACHE RD
Second Line : STE 100
City : LAS VEGAS
State : NV
Zip : 89148-7682
Country : US
Telephone Number : 702-384-8099
Fax Number : 702-384-3930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 11/22/2021

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