Mark J Vellek
Hematology & Oncology
3131 La Canada St Ste 140
Las Vegas
, Nevada 89169-2579
Mark J Vellek
Hematology & Oncology
3131 La Canada St Ste 140
Las Vegas
, Nevada 89169-2579
(702) 216-3346
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Mark J Vellek
- Po Box 98978
- Las Vegas, NV
- Zip : 89193-8978
- Phone : (702) 216-3346
Second Address
- Mark J Vellek
- 3131 La Canada St Ste 140
- Las Vegas, NV
- Zip : 89169-2579
- Fax : (702) 933-9444
- Phone : (702) 933-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 20944 | NV |
| N | 207RH0003X | Hematology & Oncology | R5H89 | MO |
National Provider Identifier
| NPI | 1063409688 |
|---|---|
| Provider Name | Mark J Vellek |
| First Address | Las Vegas, NV 89193-8978 |
| Second Address | Las Vegas, NV 89169-2579 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2005 |
| Last Update Date | 07/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 106095 | BCBS OF MO (01) | |
| 1063409688 | (05) | NV |
| 1210 | GHP (01) | |
| 171205 | HEALTHLINK (01) | |
| 203284625 | (05) | MO |
| 3604003 | UNITED HEALTHCARE (01) | |
| 5132415 | AETNA (01) | |
| 65201A002 | TRICARE (01) | |
| F19081 | MERCY HEALTH PLANS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.