MEDICARE: DR. LEONARD D. PARILAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	11422	NV
2	207RC0000X	Cardiovascular Disease Physician	11422	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649239450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD D. PARILAK M.D.

Provider Business Mailing Address
First Line	:	2621 W HORIZON RIDGE PKWY STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2895
Country	:	US
Telephone Number	:	702-683-7876
Fax Number	:	702-822-1611

Provider Business Practice Location Address
First Line	:	2621 W HORIZON RIDGE PKWY STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2895
Country	:	US
Telephone Number	:	702-683-7876
Fax Number	:	702-822-1611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/21/2022

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