Individual
MERRILL RALPH NISAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LARKSPUR LANDING CIR STE 10, LARKSPUR, CA 94939-1836
(415) 924-1214
(415) 924-1375
Mailing address
1100 LARKSPUR LANDING CIR STE 10, LARKSPUR, CA 94939-1836
(415) 924-1214
(415) 924-1375
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A45217
CA
207RP1001X
Pulmonary Disease Physician
Primary
A45217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ79929Z
—
CA
Enumeration date
10/06/2005
Last updated
12/16/2025
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