Suba Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13792 Issued in NV

Legal business name

SUBA PSYCHIATRY PLLC

Practice address

1530 E Sahara Ave
Las Vegas, NV 89104-3439

Phone

(845) 659-6317

Fax

(702) 566-4575

NPI assigned

Feb 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faisal Suba, MD

Title

Owner

Phone

(702) 685-0674

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1396018511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043439",
            "telephone_number": "845-659-6317",
            "fax_number": "702-566-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043439",
            "telephone_number": "845-659-6317",
            "fax_number": "702-566-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-18",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "SUBA",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-685-0674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "13792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Suarez, DMD
• Yaneisy Suarez
• Yordanka Suarez
• Mildred Suazo
• Sharon Okaris Suazo
• Justine Suba-Cohen, D.O.
• Faisal Ahmed Suba, M.D.
• Noptanat Subchoosang
• Verleana Marie Suber-Bright
• Diana Lynn Subero

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.