Provider Demographics
NPI:1326039751
Name:HARSHANY, MARK L (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:L
Last Name:HARSHANY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 SNOW FOREST CV
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-4311
Mailing Address - Country:US
Mailing Address - Phone:210-414-5940
Mailing Address - Fax:866-422-8604
Practice Address - Street 1:1 SNOW FOREST CV
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-4311
Practice Address - Country:US
Practice Address - Phone:210-414-5940
Practice Address - Fax:866-422-8604
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT8581139-12052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology