Individual
MOHAMMEDREZA NIKTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
(614) 685-7108
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8305
(614) 685-7108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.065305
OH
207P00000X
Emergency Medicine Physician
Primary
35065305
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35.065305
OH
207Q00000X
Family Medicine Physician
35.065305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935386
—
OH
Enumeration date
03/03/2006
Last updated
05/26/2026
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