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
Phone: (614) 293-8305
Fax: (614) 293-3124
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417924846 | NPPES |
Ohio | MEDICAID | 0935386 |
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