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MR. NIMA KHOOBIYARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
55 SANTA CLARA AVE STE 200, OAKLAND, CA 94610-1319
(888) 588-8995
Mailing address
PO BOX 530077, ATLANTA, GA 30353-0077

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95211730
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031323
CA

Other

Enumeration date
06/14/2024
Last updated
08/01/2024
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