Individual
MARK J VELLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 LA CANADA ST STE 140, LAS VEGAS, NV 89169-2579
(702) 933-9400
(702) 933-9444
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20944
NV
207RH0003X
Hematology & Oncology Physician
C2194
KY
207RH0003X
Hematology & Oncology Physician
R5H89
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106095
BCBS OF MO
—
05
—
1063409688
—
NV
01
—
1210
GHP
—
01
—
171205
HEALTHLINK
—
05
—
203284625
—
MO
01
—
3604003
UNITED HEALTHCARE
—
01
—
5132415
AETNA
—
01
—
65201A002
TRICARE
—
01
—
F19081
MERCY HEALTH PLANS
—
Enumeration date
09/29/2005
Last updated
12/12/2023
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