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Contact Information

MARK J VELLEK, MD
3131 LA CANADA ST STE 140
LAS VEGAS, NV89169-2579
 Phone: 702-933-9400
 Fax: 702-933-9444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK J VELLEK · (Male)

NPI Number 1063409688
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2005
Last updated 12/12/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • KY License # C2194
  • MO License # R5H89
  • NV License # 20944
  • MO Medicaid 203284625
  • NV Medicaid 1063409688
  • Other 5132415 AETNA
  • Other 106095 BCBS OF MO
  • Other 1210 GHP
  • Other 171205 HEALTHLINK
  • Other F19081 MERCY HEALTH PLANS
  • Other 65201A002 TRICARE
  • Other 3604003 UNITED HEALTHCARE
Hospital affiliation(s)
  • BARTON MEMORIAL HOSPITAL - (Acute Care)
    2170 SOUTH AVENUE
    SOUTH LAKE TAHOE, CA 96150
  • CARSON TAHOE REGIONAL MEDICAL CENTER - (Acute Care)
    1600 MEDICAL PARKWAY
    CARSON CITY, NV 89703
  • CARSON VALLEY MEDICAL CENTER - (Critical Access)
    1107 HIGHWAY 395
    GARDNERVILLE, NV 89410
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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