Merrill Ralph Nisam, MD

NPI #1205824067 in Larkspur, California

Provider Information

NPI Number: 1205824067
Entity Type: Individual
Name: Merrill Ralph Nisam, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Pulmonary Disease
Credential: MD
Enumeration Date: Oct 6, 2005
Last Updated: Dec 16, 2025

Practice Location

Address: 1100 LARKSPUR LANDING CIR STE 10
City: Larkspur
State: California
ZIP Code: 94939-1836
Phone: (415) 924-1214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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