Provider Demographics
NPI:1164685863
Name:NISAR, HUMERA (MD)
Entity Type:Individual
Prefix:DR
First Name:HUMERA
Middle Name:
Last Name:NISAR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:521 PARNASSUS AVE # C443
Mailing Address - Street 2:BOX 0532
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2206
Mailing Address - Country:US
Mailing Address - Phone:415-476-1812
Mailing Address - Fax:415-476-3381
Practice Address - Street 1:521 PARNASSUS AVE # C443
Practice Address - Street 2:BOX 0532
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2206
Practice Address - Country:US
Practice Address - Phone:415-476-1812
Practice Address - Fax:415-476-3381
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2021-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301095344207RN0300X
CAA116292207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology