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

Kian Rod Niknam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962147504

Kian Rod Niknam is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (818) 445-5769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1962147504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2022
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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