Individual
RACHEL MIRIAM NIKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 WALNUT ST STE 210W, PHILADELPHIA, PA 19106-3323
(215) 925-6402
(215) 925-0262
Mailing address
601 WALNUT ST STE 210W, PHILADELPHIA, PA 19106-3323
(215) 925-6402
(215) 925-0262
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD428282
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD428282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016108940003
—
PA
Enumeration date
06/18/2006
Last updated
09/02/2020
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