Individual
DR. KATHY G NIKNEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, UROLOGY DEPT, WELLESLEY, MA 02481-5420
(781) 431-5255
(781) 431-5329
Mailing address
230 WORCESTER ST, UROLOGY DEPT, WELLESLEY, MA 02481-5420
(781) 431-5255
(781) 431-5329
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
157074
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193632
—
MA
Enumeration date
12/06/2006
Last updated
09/23/2011
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