Niknam, Rachel Miriam

Niknam, Rachel Miriam is an individual health care provider with primary practice located at 601 Walnut St Ste 210W , Philadelphia PA 19106-3323. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Niknam, Rachel Miriam can be contacted via phone (215) 925-6402.

Contact Information

Primary practice address
601 Walnut St Ste 210W Philadelphia PA 19106-3323
Phone: (215) 925-6402
Fax: (215) 925-0262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD428282 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD428282 Pennsylvania

Profile Details

NPI number 1649215245
LBN Legal business name Niknam, Rachel Miriam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Sep 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649215245 NPPES
Pennsylvania MEDICAID 1016108940003

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