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850 Mill St Ste 100 Reno NV 89502-1463 | |
| (702) 485-2100 | |
| (702) 825-0091 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 850 Mill St Ste 100, Reno, Nevada |
| Authorized Official Name and Position | Faisal Ahmed Suba (PHYSICIAN) |
| Authorized Official Contact | 7024852100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
850 Mill St Ste 100 Reno NV 89502-1463 Ph: () - | 850 Mill St Ste 100 Reno NV 89502-1463 Ph: (702) 485-2100 |
| NPI Number | 1659938942 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659938942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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