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

Nicki Sadeghipour

Individual provider Medical Physician Assistant · NPI 1710526942

Nicki Sadeghipour is a Medical Physician Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-2000
Show map & directions

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

Additional practice locations (1)

  • 412 N Front St Unit 29, Philadelphia, PA 19123-4238 — (267) 614-6269

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA061084 (PA)

Record details

NPI number1710526942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020

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