Individual
DR. KIANOUSH NIKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 397-1985
Mailing address
2620 NIAZUMA AVE S APT D, BIRMINGHAM, AL 35205-2530
(205) 388-2801
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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