Provider Demographics
NPI:1003985177
Name:NIKU, SOHEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHEIL
Middle Name:
Last Name:NIKU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12580 CARMEL CREEK RD
Mailing Address - Street 2:#52
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2392
Mailing Address - Country:US
Mailing Address - Phone:619-322-0341
Mailing Address - Fax:858-509-0341
Practice Address - Street 1:12580 CARMEL CREEK RD
Practice Address - Street 2:#52
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2392
Practice Address - Country:US
Practice Address - Phone:619-322-0341
Practice Address - Fax:858-509-0341
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA724232085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology