MEDICARE: AMY TSENG, MD LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	7877	NV

General Provider Information

NPI Number	:	1366624751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY TSENG, MD LTD

Provider Business Mailing Address
First Line	:	2870 S JONES BLVD STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5644
Country	:	US
Telephone Number	:	702-870-7111
Fax Number	:	702-870-3496

Provider Business Practice Location Address
First Line	:	2870 S JONES BLVD STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5644
Country	:	US
Telephone Number	:	702-870-7111
Fax Number	:	702-870-3496

Authorized Official
Title or Position	:	BILLER
Name	:	DR. AMY TSENG
Credential	:
Telephone Number	:	702-870-7111

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	10/26/2009

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