Niktash, Mohammedreza

Niktash, Mohammedreza is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Niktash, Mohammedreza can be contacted via phone (614) 293-8305.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Fax: (614) 293-3124
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.065305 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35065305 Ohio

Profile Details

NPI number 1417924846
LBN Legal business name Niktash, Mohammedreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Apr 3rd, 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 1417924846 NPPES
Ohio MEDICAID 0935386

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