Dr. Nuzhat Nisar, M.D.
Pediatrics in O Fallon, MO. Individual provider (NPI-1).
NPI number1790730554
StatusActive
Last updated in NPPESJul 10, 2012
Details
- NPI
- 1790730554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nuzhat Nisar
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2006
- Last updated
- Jul 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 105226 | MO | Yes |
Other names
- Nuzhat Nisar (Other Name)
Practice location
2954 Highway KO Fallon, MO 63368-7861
Phone 636-978-1772 · Fax 636-978-2589
Mailing address
2954 Highway KO Fallon, MO 63368-7861
Phone 636-978-1772 · Fax 636-978-2589
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