Dr. Nicholas Kian Mollanazar, MD, MBA
Dermatology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003201617
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1003201617
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Kian Mollanazar
- Credential
- MD, MBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2015
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD467873 | PA | Yes |
Practice location
800 Spruce Street10th Floor
Philadelphia, PA 19107-5701
Phone 941-718-8997
Mailing address
3400 Civic Center Blvd1st Floor, Derm
Philadelphia, PA 19104-5127
Phone 941-718-8997
Other practice locations
3401 N Broad St
Philadelphia, PA 19140-5103
Philadelphia, PA 19140-5103
Phone 215-707-3376
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