MEDICARE: MATTHEW HAND 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	207N00000X	Dermatology Physician	64641	AZ
2	207ND0101X	MOHS-Micrographic Surgery Physician	64641	AZ
3	207ND0101X	MOHS-Micrographic Surgery Physician	21353	NV
4	390200000X	Student in an Organized Health Care Education/Training Program		UT
5	207N00000X	Dermatology Physician	21353	NV

General Provider Information

NPI Number	:	1598181828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW HAND MD

Provider Business Mailing Address
First Line	:	6170 N DURANGO DR STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3926
Country	:	US
Telephone Number	:	702-430-5333
Fax Number	:	702-430-5335

Provider Business Practice Location Address
First Line	:	6170 N DURANGO DR STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3926
Country	:	US
Telephone Number	:	702-430-5333
Fax Number	:

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

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	02/24/2023

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