DR. NICK MICKAS MD - NPI 1912963018 - Specialist in Oakland, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Dr. Nick Mickas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICK MICKAS MD (NPI 1912963018) is an individual specialist in Oakland, California, licensed in California (A06280) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1912963018

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. NICK MICKASCredential: MD

Location Address747 52ND ST, NEONATOLOGY 3RD FLOOROakland, CA 94609-1809

Mailing Address747 52nd St, Neonatology 3rd FloorOakland, CA 94609-1809 · (510) 428-3276 · Fax (510) 450-5823

Phone(510) 428-3276

Fax(510) 450-5823

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1912963018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A06280

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

747 52ND ST, Oakland, CA 94609

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