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

A Nicknam PC

Organization Family Medicine Physician · NPI 1659501302

A Nicknam PC is a Family Medicine Physician 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
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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