Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD A. NICKLAS, M.D.
ActiveDR. RICHARD A. NICKLAS, M.D. is a Allergy healthcare provider located in RESTON, Virginia. NPI 1467412510 is currently active in the NPPES registry. Verify at CMS.
Allergy · RESTON, VA
Registration Details
- NPI Number
- 1467412510
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.390072170558 yrs)
- Last Updated
- Jan 3, 2012
- Licenses
-
MD3203 (DC)0101025325 (VA)
Practice Information
- Address
-
1830 TOWN CENTER DRSUITE #206RESTON, VA, 201903236Browse VA providers · Browse ZIP 20190
- Phone
- 7034375151
- Fax
- 7032804650
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.