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Contact Information

ABID NISAR
2044 MADISON AVE
STE 28
GRANITE CITY, IL62040-4641
 Phone: 618-451-9953
 Fax: 618-451-9322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ABID NISAR

NPI Number 1346350808
LBN Legal business name ABID NISAR
Authorized official ABID NISAR - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 07/30/2010 - About 16 years ago
Identifiers
MO Other DD0222 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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