Individual
DR. SAMI A NIZAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
4590 WOODMERE BLVD, MONTGOMERY, AL 36106
(334) 271-2002
Mailing address
4590 WOODMERE BLVD, MONTGOMERY, AL 36106-2918
(334) 271-2002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02509400
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4193
AR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6484C
AL
208200000X
Plastic Surgery Physician
E-10461
AR
Other
Enumeration date
03/21/2010
Last updated
07/30/2018
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