DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MERRILL RALPH NISAM, MD

Active

MERRILL RALPH NISAM, MD is a Pulmonary Disease healthcare provider located in LARKSPUR, California. NPI 1205824067 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · LARKSPUR, CA

Registration Details

NPI Number
1205824067
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2005 (20.888864085201 yrs)
Last Updated
Dec 16, 2025
Licenses
A45217 (CA)
A45217 (CA)

Practice Information

Address
1100 LARKSPUR LANDING CIR STE 10
LARKSPUR, CA, 949391836
Browse CA providers · Browse ZIP 94939
Phone
4159241214
Fax
4159241375
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in LARKSPUR, CA

Name Credential NPI
ANJULI MAYA BRIGHTON MD 1407110588
DR. SHEEJA T SCHUSTER MD/MPH 1679912828
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.