Organization
MARK C HANDELMAN MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C HANDELMAN MD (OWNER)
(702) 538-7773
Entity
Organization
Contact information
Practice address
2585 BOX CANYON DR, SUITE 110, LAS VEGAS, NV 89128-0429
(702) 538-7773
(702) 256-9035
Mailing address
2585 BOX CANYON DR, SUITE 110, LAS VEGAS, NV 89128-0429
(702) 538-7773
(702) 256-9035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6880
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V103413
MEDICARE ID- UNSPECIFIED
NV
Enumeration date
02/14/2007
Last updated
08/13/2013
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