Merrill Ralph Nisam in Greenbrae - Critical Care Medicine

Merrill Ralph Nisam - NPI 1205824067

Merrill Ralph Nisam is a Critical Care Medicine in Greenbrae, California. Merrill Ralph Nisam practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Merrill Ralph Nisam is 1205824067. The last update date is 2018-02-26.

Merrill Ralph Nisam's current location address is 1260 S Eliseo Dr, Greenbrae, California. You can contact this provider via phone number 4159241214 and fax number 4159241375. The mailing address for Merrill Ralph Nisam is 1260 S Eliseo Dr, Greenbrae, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Merrill Ralph Nisam
Address 1260 S Eliseo Dr, Greenbrae, California
Phone Number 4159241214
Fax Number 4159241375
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205824067
Provider Enumeration Date 2005-10-06
Last Updated Date 2018-02-26

Provider Mailing Address Detail

Address 1260 S Eliseo Dr
City Greenbrae
State California (CA)
Post Code 949042009
Phone Number 4159241214
Fax Number 4159241375

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No A49947
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ79929Z CA --

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FAQs about Merrill Ralph Nisam

What is the unique 10-digit identification code issued to Merrill Ralph Nisam by the Centers for Medicare & Medicaid Services?

The Merrill Ralph Nisam has been assigned the NPI (National Provider Identifier) 1205824067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Merrill Ralph Nisam?

The Merrill Ralph Nisam is physically situated at 1260 S Eliseo Dr, in the city of Greenbrae, state of CA, with the postal code 949042009.

What is Merrill Ralph Nisam's specialized field of practice, and what is the corresponding taxonomy classification code?

The Merrill Ralph Nisam's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0200X.

When was the Merrill Ralph Nisam's 1205824067 issued?

The Merrill Ralph Nisam's 1205824067 was issued on 2005-10-06.

When was the information pertaining to Merrill Ralph Nisam most recently updated or revised?

The details related to Merrill Ralph Nisam, including its address, specialty, and other relevant information, were last updated or revised on 2018-02-26.

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