Provider Demographics
NPI:1386504660
Name:NEJAT, NIMA
Entity type:Individual
Prefix:
First Name:NIMA
Middle Name:
Last Name:NEJAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1582 S STELLING RD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-5206
Mailing Address - Country:US
Mailing Address - Phone:424-777-7177
Mailing Address - Fax:
Practice Address - Street 1:1582 S STELLING RD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-5206
Practice Address - Country:US
Practice Address - Phone:424-777-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator