Individual
NUZHAT UN NISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 SIM HODGIN PARKWAY, RICHMOND FAMILY CARE CENTER, RICHMOND, IN 47374-1928
(765) 966-5949
(765) 962-6268
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SVCS, RICHMOND, IN 47374-1157
(765) 966-5949
(765) 962-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067431A
IN
207QS1201X
Sleep Medicine (Family Medicine) Physician
01067431A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000673201
ANTHEM
IN
05
—
200990030
—
IN
Enumeration date
07/27/2007
Last updated
05/17/2021
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