Provider Demographics
NPI:1659265445
Name:CONTEH, DEAMAD AMADU (CHW)
Entity type:Individual
Prefix:
First Name:DEAMAD
Middle Name:AMADU
Last Name:CONTEH
Suffix:
Gender:M
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 W CHARLESTON BLVD APT 2082
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5448
Mailing Address - Country:US
Mailing Address - Phone:702-858-5370
Mailing Address - Fax:
Practice Address - Street 1:3215 W CHARLESTON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2182
Practice Address - Country:US
Practice Address - Phone:702-858-5370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCHW1-6126172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker