Individual
DR. MAHRUKH NISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1419 HAMRIC DR E STE 101, OXFORD, AL 36203-2174
(256) 235-3660
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
117661
MT
207N00000X
Dermatology Physician
186828
OR
207N00000X
Dermatology Physician
Primary
MD.45230
AL
Other
Enumeration date
05/30/2013
Last updated
09/23/2025
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