Provider Demographics
NPI:1497854962
Name:CHUANG, RITA BELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:BELLA
Last Name:CHUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 W HORIZON RIDGE PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4831
Mailing Address - Country:US
Mailing Address - Phone:702-818-3207
Mailing Address - Fax:702-818-4759
Practice Address - Street 1:2629 W HORIZON RIDGE PKWY STE 140
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4831
Practice Address - Country:US
Practice Address - Phone:702-818-3207
Practice Address - Fax:702-818-4759
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2018639Medicaid
36301OtherMEDICARE PTAN
NV2018639Medicaid
NVH17936Medicare UPIN