Individual
DR. YAGHOUB NIKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 INNOVATION DR STE 4120, YORK, PA 17408-8815
(717) 632-9263
(717) 646-7439
Mailing address
1703 INNOVATION DR STE 4120, YORK, PA 17408-8815
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101236054
VA
207RP1001X
Pulmonary Disease Physician
Primary
TMD004939
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103810633
—
PA
Enumeration date
09/10/2018
Last updated
12/22/2020
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