Provider Demographics
NPI:1861595837
Name:NIK, NARIEMAN AHMADI (MD)
Entity type:Individual
Prefix:
First Name:NARIEMAN
Middle Name:AHMADI
Last Name:NIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NARIEMAN A NIK MD
Mailing Address - Street 2:PO BOX 1256
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20827
Mailing Address - Country:US
Mailing Address - Phone:301-593-0500
Mailing Address - Fax:301-681-3727
Practice Address - Street 1:9801 GEORGIA AVE #340
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-593-0500
Practice Address - Fax:301-681-0727
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22820207W00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D06006Medicare UPIN
MD070975Medicare ID - Type Unspecified