DR. Abdul R, Nizam II, M.D

NPI #1568465359 in Moberly, Missouri

Provider Information

NPI Number: 1568465359
Entity Type: Individual
Name: DR. Abdul R, Nizam II, M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D
Enumeration Date: May 24, 2005
Last Updated: Feb 7, 2014

Practice Location

Address: 630 N MORLEY ST
Address 2: STE 101
City: Moberly
State: Missouri
ZIP Code: 65270-2556
Phone: (660) 263-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary
Eyewear Supplier	332H00000X

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