Provider Demographics
NPI:1013081199
Name:MCGAHA, AMY LEAH (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:LEAH
Last Name:MCGAHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5095 CANYON DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-7904
Mailing Address - Country:US
Mailing Address - Phone:417-592-0233
Mailing Address - Fax:402-717-6059
Practice Address - Street 1:745 W MOANA LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4991
Practice Address - Country:US
Practice Address - Phone:775-982-1000
Practice Address - Fax:775-982-8046
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003008011207Q00000X
NV25214207Q00000X
NE25971207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine