A Nicknam Pc

LBN: A Nicknam Pc
A Nicknam Pc is an health care organization with primary practice located at 1712 Bearden Dr , Las Vegas NV 89106-4107. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. A Nicknam Pc can be contacted via phone (702) 733-6622, or through Nicknam, Amir K via phone (702) 733-6622.

Contact Information

Primary practice address
1712 Bearden Dr Las Vegas NV 89106-4107
Phone: (702) 733-6622
Fax: (702) 382-6622
Website:
Map and Directions
Authorized official contact:
Name: Nicknam, Amir K Doctor of Medicine (MD)
Phone: (702) 733-6622

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11368 Nevada

Profile Details

NPI number 1659501302
LBN Legal business name A Nicknam Pc
DBA Doing business as
Authorized official Nicknam, Amir K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2009
Last updated Dec 31st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659501302 NPPES
Nevada Other CP615A MEDICARE PTAN
Nevada MEDICAID 1659501302 MEDICARE PTAN

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