Organization
ASIF NISAR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIF NISAR M.D. (OFFICER)
(337) 439-5369
Entity
Organization
Contact information
Practice address
300 18TH STREET, SUITE 200, LAKE CHARLES, LA 70601-5874
(337) 439-5369
(337) 436-9998
Mailing address
300 18TH STREET, SUITE 200, LAKE CHARLES, LA 70601-5874
(337) 439-5369
(337) 436-9998
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.203470
LA
Other
Enumeration date
01/19/2010
Last updated
05/23/2011
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