Individual
DR. POUNEH MOFRAD NIKROOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16817 MARVIN RD, CHARLOTTE, NC 28277-2196
(704) 495-6036
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 918-1934
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2004-01552
NC
207RG0100X
Gastroenterology Physician
Primary
200401552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901545
—
NC
Enumeration date
07/10/2006
Last updated
05/13/2025
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