Provider Demographics
NPI:1629694682
Name:NIKOUEIHA, NADIA (DPM)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:NIKOUEIHA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 TATE BLVD SE STE 203
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1372
Mailing Address - Country:US
Mailing Address - Phone:828-304-0400
Mailing Address - Fax:
Practice Address - Street 1:1501 TATE BLVD SE STE 203
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1372
Practice Address - Country:US
Practice Address - Phone:828-304-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101382213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery