Provider Demographics
NPI:1730971532
Name:GHARIBI, NIMA (MD)
Entity type:Individual
Prefix:MR
First Name:NIMA
Middle Name:
Last Name:GHARIBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 ELLICOTT ST APT 678
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1265
Mailing Address - Country:US
Mailing Address - Phone:716-367-7580
Mailing Address - Fax:
Practice Address - Street 1:628 ELLICOTT ST APT 678
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1265
Practice Address - Country:US
Practice Address - Phone:716-367-7580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program