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PULMONARY & CRITICAL CARE MEDICINE INC. NPI 1508854381


NPI Information

NPI: 1508854381
Provider Name: PULMONARY & CRITICAL CARE MEDICINE, INC.

Doing Business As: MERRILL R NISAM, MD

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
335 CARRERA DR
MILL VALLEY, CA
ZIP 94941
Phone: (415) 388-7210
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PULMONARY & CRITICAL CARE MEDICINE, INC. is a critical care medicine internal medicine in Mill Valley, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PULMONARY & CRITICAL CARE MEDICINE, INC. NPI is 1508854381. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Merrill R Nisam, Md.

The provider's business location address is:

335 CARRERA DR
MILL VALLEY, CA
ZIP 94941-999
Phone: (415) 388-7210

The provider's authorized official is Merrill Ralph Nisam .
The authorized official title is President and has the following contact phone number (415) 924-1214.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 1/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineA49947CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIATAX ID#
2ZZZ79929ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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