IndividualActive
Abdul Nizam, M.D
NPI 1568465359 · Ophthalmology Physician · Moberly, MO
Provider details
- NPI number
- 1568465359
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 113224 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Practice location
630 N Morley St
Ste 101
Moberly, MO 65270-2556
Phone: (660) 263-0404
Fax: (660) 263-1725
Approximate (ZIP-level) locationGet directions
Mailing address
630 N Morley St
Moberly, MO 65270-2556
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2014-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.