His practice is at the Minneapolis VA Medical Center, where he works as a primary care physician and as an inpatient attending on the medicine teaching services. Dr. Nikakhtar also serves as an Associate Clerkship Director and Site Director for the Internal Medicine clerkships at the Minneapolis VA, as well as the Assistant Chief for Resident Education and the Director of the Internal Medicine Resident Clinic. He is a Faculty Advisor to medical students at the University of Minnesota Medical School, and he has served as a small group facilitator in numerous medical and community-based education settings.