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NPI Code Detail

MEDICARE: NIEKU BAKHTIARI PHARMD

MEDICARE: NIEKU BAKHTIARI PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist72338TX
2183500000XPharmacistRPH032335GA

General Provider Information

NPI Number : 1891577193
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIEKU BAKHTIARI PHARMD
Provider Business Mailing Address
First Line : 10 GLENLAKE PKWY
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 404-509-7843
Fax Number :
Provider Business Practice Location Address
First Line : 10 GLENLAKE PKWY
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 404-509-7843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2023
Last Update Date : 04/13/2026

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Directions to “ NIEKU BAKHTIARI PHARMD” Practice Location

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