MEDICARE: MANA MEDICAL SHLIFER PLLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1114889680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANA MEDICAL SHLIFER PLLC

Provider Business Mailing Address
First Line	:	6655 W SAHARA AVE STE D104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0846
Country	:	US
Telephone Number	:	702-886-7075
Fax Number	:	702-886-7075

Provider Business Practice Location Address
First Line	:	6655 W SAHARA AVE STE D104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0846
Country	:	US
Telephone Number	:	702-886-7075
Fax Number	:	702-886-7075

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARLENE REYNOLDS
Credential	:
Telephone Number	:	702-886-7075

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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