Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

A Nicknam PC

Organization Family Medicine Physician · NPI 1659501302

A Nicknam PC provides Family Medicine Physician services in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2009.

Licensed in
NV
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1712 Bearden Dr
Las Vegas, NV 89106-4107 Not confirmed with CMS for 12 years — call before visiting
Phone: (702) 733-6622
Fax: (702) 382-6622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11368 (NV)

Record details

NPI number1659501302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amir Nicknam — President · (702) 733-6622
NPI enumeratedJuly 15, 2009
Last updated in NPPESDecember 31, 2013
Mailing addressPo Box 34717, Las Vegas, NV 89133-4717

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