Healthcare Provider Details

I. General information

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

II. Dates (important events)

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

III. Provider practice location address

6655 W SAHARA AVE STE D104
LAS VEGAS NV
89146-0846
US

IV. Provider business mailing address

6655 W SAHARA AVE STE D104
LAS VEGAS NV
89146-0846
US

V. Phone/Fax

Practice location:
  • Phone: 702-886-7075
  • Fax: 702-886-7075
Mailing address:
  • Phone: 702-886-7075
  • Fax: 702-886-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLENE REYNOLDS
Title or Position: OFFICE MANAGER
Credential:
Phone: 702-886-7075