Organization Active NPI

Nariman Niktash MD PA

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1548664899
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME102800 Issued in FL
Legal business name
NARIMAN NIKTASH MD PA
Practice address
119 Oakfield Dr
Brandon, FL 33511-5779
Phone
(941) 258-4491
Fax
(941) 206-6418
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nariman Niktash, MD
Title
Owner
Phone
(941) 258-4491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME102800 FL Primary

Addresses

Primary practice location

119 Oakfield Dr
Brandon, FL 33511-5779

Mailing address

PO Box 495009
Port Charlotte, FL 33949-5009
Phone (941) 258-4491

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1548664899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495009",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495009",
            "telephone_number": "941-258-4491",
            "fax_number": "941-206-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "941-258-4491",
            "fax_number": "941-206-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARIMAN NIKTASH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "NIKTASH",
        "authorized_official_first_name": "NARIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-258-4491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.