Healthcare Provider Details

I. General information

NPI: 1679107320
Provider Name (Legal Business Name): ALLIANCE MENTAL HEALTH SPECIALISTS SUBA PARK CHENG PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E CALVADA BLVD STE E
PAHRUMP NV
89048-5880
US

IV. Provider business mailing address

4270 S DECATUR BLVD STE B6
LAS VEGAS NV
89103-6802
US

V. Phone/Fax

Practice location:
  • Phone: 702-485-2100
  • Fax: 702-825-0091
Mailing address:
  • Phone: 702-485-2100
  • Fax: 702-825-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: FAISAL AHMED SUBA
Title or Position: OWNER
Credential: MD
Phone: 702-485-2100