Provider Demographics
NPI:1679107320
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:ALLIANCE MENTAL HEALTH SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:AHMED
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 1:2340 E CALVADA BLVD STE E
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5880
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:2020-03-02
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty