Individual
JAVARIYA NISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(443) 849-2000
Mailing address
11010 NACIREMA LN, STEVENSON, MD 21153-0666
(410) 967-2575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D98008
MD
207R00000X
Internal Medicine Physician
MD490704
PA
Other
Enumeration date
09/22/2020
Last updated
06/16/2025
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