Provider Demographics
NPI:1932757234
Name:NIMIN, PRESHA JOYICHEN (MD)
Entity Type:Individual
Prefix:
First Name:PRESHA
Middle Name:JOYICHEN
Last Name:NIMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N BUCKSTOWN RD STE E-206
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1815
Mailing Address - Country:US
Mailing Address - Phone:215-741-1963
Mailing Address - Fax:
Practice Address - Street 1:100 N BUCKSTOWN RD STE E-206
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1815
Practice Address - Country:US
Practice Address - Phone:215-741-1963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAHS000129L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty