Organization
KIAVASH NIKKHOU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAVASH NIKKHOU M.D. (PHYSICIAN- UROLOGIST)
(818) 577-0571
Entity
Organization
Contact information
Practice address
415 ROLLING OAKS DR, SUITE 260, THOUSAND OAKS, CA 91361-1029
(805) 371-4707
Mailing address
415 ROLLING OAKS DR, SUITE 260, THOUSAND OAKS, CA 91361-1029
(805) 371-4707
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A130422
CA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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