Healthcare Provider Details

I. General information

NPI: 1659938942
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: 05/22/2019
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 MILL ST STE 100
RENO NV
89502-1463
US

IV. Provider business mailing address

850 MILL ST STE 100
RENO NV
89502-1463
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. FAISAL AHMED SUBA
Title or Position: PHYSICIAN
Credential: MD
Phone: 702-485-2100