Provider Demographics
NPI:1538552815
Name:CHEUNG, NGANHA
Entity type:Individual
Prefix:
First Name:NGANHA
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2598 WINDMILL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5476
Mailing Address - Country:US
Mailing Address - Phone:702-222-7777
Mailing Address - Fax:702-992-9954
Practice Address - Street 1:2598 WINDMILL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5476
Practice Address - Country:US
Practice Address - Phone:702-248-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2025-09-15
Deactivation Date:2019-12-13
Deactivation Code:
Reactivation Date:2025-09-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No171M00000XOther Service ProvidersCase Manager/Care Coordinator