Provider Demographics
NPI:1255751038
Name:NIKAEEN, NASEEM
Entity type:Individual
Prefix:
First Name:NASEEM
Middle Name:
Last Name:NIKAEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NASEEM
Other - Middle Name:
Other - Last Name:NIKAEEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9051 NE 81ST TER STE 100
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1168
Mailing Address - Country:US
Mailing Address - Phone:913-481-1166
Mailing Address - Fax:
Practice Address - Street 1:9051 NE 81ST TER STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1168
Practice Address - Country:US
Practice Address - Phone:816-792-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019036150208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics