Individual
SEYED MORTEZA NIKNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
638 GRAVATT DR, BERKELEY, CA 94705-1644
(510) 684-5049
Mailing address
638 GRAVATT DR, BERKELEY, CA 94705-1644
(510) 684-5049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A39398
CA
208600000X
Surgery Physician
Primary
A39398
CA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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