Individual
DR. ABDUL W NURISTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2288 AUBURN BLVD STE 105, SACRAMENTO, CA 95821-1619
(916) 500-4706
(916) 200-4999
Mailing address
PO BOX 980934, WEST SACRAMENTO, CA 95798-0934
(916) 500-4706
(916) 200-4999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A 121191
CA
207RN0300X
Nephrology Physician
Primary
A121191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194242313
—
CA
Enumeration date
06/17/2009
Last updated
06/26/2020
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