Individual provider · Type 1 NPI

Kianoush Niknam, MD

Student in an Organized Health Care Education/Training Program · Vancouver, WA

NPI number 1306647730 Active

Practice location

2211 NE 139th St
Vancouver, WA 98686-2742

Call (360) 397-1985 Map

Mailing address

2620 Niazuma Ave S Apt D
Birmingham, AL 35205-2530

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306647730

Kianoush Niknam, MD's National Provider Identifier is 1306647730, issued on Mar 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 21, 2025.