Healthcare Provider Details

I. General information

NPI: 1114889680
Provider Name (Legal Business Name): MANA MEDICAL SHLIFER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-2731
US

IV. Provider business mailing address

2440 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-2731
US

V. Phone/Fax

Practice location:
  • Phone: 725-214-4237
  • Fax:
Mailing address:
  • Phone: 725-214-4237
  • Fax: 725-313-2273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IGOR G SHLIFER
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 725-214-4237