# PENG MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amity Neurology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912563826
- **Authorized official:** HSIAOLIN FANG (PRACTICE MANAGER)
- **Authorized official phone:** (217) 299-5892

## Contact information

- **Practice address:** 500 DAMONTE RANCH PKWY STE 1030, RENO, NV 89521-5968
- **Practice address phone:** (775) 432-6189
- **Practice address fax:** (775) 284-5625
- **Mailing address:** 500 DAMONTE RANCH PKWY STE 1030, RENO, NV 89521-5968
- **Mailing address phone:** (775) 432-6189
- **Mailing address fax:** (775) 284-5625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 10/14/2022
