Individual
ILIA NIKHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
Mailing address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD417513
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001911634
—
PA
01
—
117012
CBH
PA
Enumeration date
08/02/2005
Last updated
03/20/2014
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