Nicholas Kian Mollanazar

Dermatology

Philadelphia, PA 19104

Male - 7 Yrs Experience - English

Location

3400 Civic Ctr Blvd
Suite 1 330s

Philadelphia, PA 19104

Phone number

(215) 662-2737

Summary

Nicholas Kian Mollanazar is a Dermatology located at Philadelphia, PA 19104 and is affiliated with Hospital Of Univ Of Pennsylvania Hospitals. He received his medical degree from Temple University School Of Medicine and has been in practice for more than 7 years.

Professional Identification

  1. NPI#: 1003201617
  2. PAC ID: 9739415985
  3. Clinician Enrollment ID: I20190725000607
  4. Gender: Male
  5. Enumeration: March 31 2015
  6. Last Updated: August 5 2019

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Temple University School Of Medicine
  3. Graduation year: 2015
  4. Taxonomy: 207N00000X
  5. Specialty: Dermatology
  6. All specialties: Dermatology

Medical Practice

  1. Organization: University Of Penn Medical Group
  2. Group PAC ID: 6204730955
  3. Number of Group Members: 2596
  4. Medicare CCN: 390111
  5. Hospital affiliation: Hospital Of Univ Of Pennsylvania

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 3400 Civic Ctr Blvd, Philadelphia PA 19104 (215) 662-2737
  2. 3400 Spruce St, Philadelphia PA 19104 (215) 662-2737

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