Provider Demographics
NPI:1275988107
Name:ALLIANCE MENTAL HEALTH SPECIALISTS SUBA PARK CHENG PLLC
Entity Type:Organization
Organization Name:ALLIANCE MENTAL HEALTH SPECIALISTS SUBA PARK CHENG PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-485-2100
Mailing Address - Street 1:4270 S DECATUR BLVD STE B6
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-6802
Mailing Address - Country:US
Mailing Address - Phone:702-485-2100
Mailing Address - Fax:702-825-0091
Practice Address - Street 1:4270 S DECATUR BLVD STE B6
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-6802
Practice Address - Country:US
Practice Address - Phone:702-485-2100
Practice Address - Fax:702-825-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV137922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty