Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicolas Katkhordeh Maynard, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134814726

Dr. Nicolas Katkhordeh Maynard, MD is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Saint Louis, MO

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 2335 Stockton Blvd, North Addition 5th Floor, Sacramento, CA 95817 — (916) 734-2816

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134814726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2023
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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