Provider Demographics
NPI:1801597745
Name:SARWAR, NIKITA (OD)
Entity type:Individual
Prefix:DR
First Name:NIKITA
Middle Name:
Last Name:SARWAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5151 N 16TH ST APT 1039
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3808
Mailing Address - Country:US
Mailing Address - Phone:909-569-3259
Mailing Address - Fax:
Practice Address - Street 1:5127 W INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-2611
Practice Address - Country:US
Practice Address - Phone:623-245-7014
Practice Address - Fax:623-247-0597
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002676152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist