Provider Demographics
NPI:1932559077
Name:NAHIKIAN, KAEL (MD, MSC, MS)
Entity Type:Individual
Prefix:DR
First Name:KAEL
Middle Name:
Last Name:NAHIKIAN
Suffix:
Gender:M
Credentials:MD, MSC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 N JASPER DR STE 2
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1634
Mailing Address - Country:US
Mailing Address - Phone:928-226-2900
Mailing Address - Fax:
Practice Address - Street 1:1840 N JASPER DR STE 2
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1634
Practice Address - Country:US
Practice Address - Phone:928-226-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ716872086S0105X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand