MEDICARE: JOSEPH V. CANDELA 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	208800000X	Urology Physician	9066	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	:	1356436257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH V. CANDELA M.D.

Provider Business Mailing Address
First Line	:	7150 W SUNSET RD
Second Line	:	SUITE 201A
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1981
Country	:	US
Telephone Number	:	702-385-4342
Fax Number	:	702-385-4346

Provider Business Practice Location Address
First Line	:	7500 SMOKE RANCH RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0324
Country	:	US
Telephone Number	:	702-233-0727
Fax Number	:	702-233-4799

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/01/2014

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