Individual
NICK A SADEGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(330) 493-4443
(330) 493-8677
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11946
NV
207P00000X
Emergency Medicine Physician
Primary
25MA08861400
NJ
207P00000X
Emergency Medicine Physician
N0425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467536854
TRICARE SOUTH
TX
01
—
8BB109
BCBSTX PROV. NO.
TX
05
—
96292001
—
TX
Enumeration date
10/24/2006
Last updated
01/10/2024
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