Individual
NISAR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1719 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8912
(956) 364-2131
(956) 364-2141
Mailing address
1719 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8912
(956) 364-2131
(956) 364-2141
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
N4887
TX
207RH0003X
Hematology & Oncology Physician
N4887
TX
207RX0202X
Medical Oncology Physician
N4887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070245
—
OH
05
—
374773501
—
TX
05
—
419512400
—
MD
01
—
8HE963
BLUE CROSS/BLUE SHIELD OF TEXAS
TX
01
—
962456-01 & 02
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0381
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
07/18/2006
Last updated
07/21/2022
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