Individual
MR. NIA NIKKHAHMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
475 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2002
Mailing address
25234 N 104TH WAY, SCOTTSDALE, AZ 85255-8180
(480) 316-0539
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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