MEDICARE: DR. MARK L HARSHANY MD

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	2085R0202X	Diagnostic Radiology Physician	8581139-1205	UT
2	2085R0202X	Diagnostic Radiology Physician	0101271416	VA

General Provider Information

NPI Number	:	1326039751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK L HARSHANY MD

Provider Business Mailing Address
First Line	:	1 SNOW FOREST CV
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4311
Country	:	US
Telephone Number	:	210-414-5940
Fax Number	:	866-422-8604

Provider Business Practice Location Address
First Line	:	1 SNOW FOREST CV
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4311
Country	:	US
Telephone Number	:	210-414-5940
Fax Number	:	866-422-8604

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	09/19/2025

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