Maryam Nikantabar, is a
Dietitian, Registered - Nutrition, Obesity And Weight Management based in Sugarloaf, Pennsylvania. Maryam Nikantabar is licensed to practice in Pennsylvania (license number DN006783) and her current practice location is
8 Brookhill Sq S # Pa, Sugarloaf, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 459-0029.
NPI number for Maryam Nikantabar is 1508405994 and her current mailing address is 435 Beech Ave, Hershey, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508405994.
Healthcare Provider's Profile
Full Name | Maryam Nikantabar |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
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Location | 8 Brookhill Sq S # Pa, Sugarloaf, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508405994
- Provider Enumeration Date: 01/02/2020
- Last Update Date: 01/24/2020
Medical Identifiers
Medical identifiers for Maryam Nikantabar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508405994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | DN006783 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryam Nikantabar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maryam Nikantabar, 435 Beech Ave, Hershey, PA 17033-1610 Ph: (717) 808-1667 | Maryam Nikantabar, 8 Brookhill Sq S # Pa, Sugarloaf, PA 18249-1010 Ph: (570) 459-0029 |
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