Individual
DR. ABID NISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2730 S SAINT PETERS PKWY STE 103, SAINT PETERS, MO 63303-5677
(314) 960-1052
(636) 685-0021
Mailing address
2730 S SAINT PETERS PKWY STE 103, SAINT PETERS, MO 63303-5677
(314) 960-1052
(636) 685-0021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1D36
MO
207R00000X
Internal Medicine Physician
036069763
IL
207RH0003X
Hematology & Oncology Physician
036069763
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202190617
—
MO
01
—
P00204269
RR MEDICARE
MO
Enumeration date
02/21/2007
Last updated
06/02/2025
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