Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicholas Kian Mollanazar, MD, MBA

Individual provider Dermatology Physician · NPI 1003201617

Dr. Nicholas Kian Mollanazar, MD, MBA is a Dermatology in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2015, 11 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

800 Spruce Street 10th Fl
Philadelphia, PA 19107-5701
Phone: (941) 718-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3400 Civic Center Boulevard, Philadelphia, PA 19104 — (215) 662-7366
  • 3400 Spruce St, Philadelphia, PA 19104 — (215) 662-7366
  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-3376

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD467873 (PA)

Record details

NPI number1003201617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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