Individual
NIKITA NALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(877) 934-9355
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010309
AZ
208M00000X
Hospitalist Physician
Primary
010309
AZ
Other
Enumeration date
04/08/2020
Last updated
06/24/2023
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