Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ABID NISAR
Active
Organization
ABID NISAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABID NISAR MD (PHYSICIAN)
(618) 451-9953
Entity
Organization
Contact information
Practice address
2044 MADISON AVE, STE 28, GRANITE CITY, IL 62040-4641
(618) 451-9953
(618) 451-9322
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPT., SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD0222
RR MEDICARE
MO
Enumeration date
08/30/2006
Last updated
07/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up