National Provider Identifier

Bisar Nezha, MD

Bisar Nezha, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 831-8612.

NPI 1508652769Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1508652769
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 15, 2025
Last Updated
April 16, 2025

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3098

Phone: (716) 831-8612

Mailing Address

  • 91 Villa Ave
  • Buffalo, NY 14216-1373

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1508652769
Entity Type
Individual
Last Name
Nezha
First Name
Bisar
Credential
MD
Mailing Street Address
91 Villa Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-1373
Mailing Country
US
Mailing Phone
(716) 622-2787
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3098
Practice Country
US
Practice Phone
(716) 831-8612
Enumeration Date
April 15, 2025
Last Updated
April 16, 2025
Sex
Male
Sole Proprietor
No
Certification Date
April 16, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)