NPI 1003201617

Nicholas Kian Mollanazar, MDMBA

Practitioner Dermatology Physician Philadelphia, PA

Practice location

Address: 800 Spruce Street 10th Floor, Philadelphia, PA 19107-5701
Phone: (941) 718-8997
Mailing address: 3400 Civic Center Blvd 1st Floor, Derm, Philadelphia, PA 19104-5127

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD467873 (PA)

Other Dermatology providers in Pennsylvania →

Registry record

NPI: 1003201617
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2015
Record last updated: 8 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.