Provider Demographics
NPI:1194798132
Name:HANDELMAN, MARK C (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:C
Last Name:HANDELMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2585 BOX CANYON DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0429
Mailing Address - Country:US
Mailing Address - Phone:702-538-7773
Mailing Address - Fax:702-256-9035
Practice Address - Street 1:2585 BOX CANYON DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0429
Practice Address - Country:US
Practice Address - Phone:702-538-7773
Practice Address - Fax:702-256-9035
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2013-08-13
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Provider Licenses
StateLicense IDTaxonomies
NV6880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2019478Medicaid
NV2019478Medicaid