MEDICARE: JOSEPH A DEBELLIS 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	207R00000X	Internal Medicine Physician	3284	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	:	1740253715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A DEBELLIS MD

Provider Business Mailing Address
First Line	:	44 QUAIL HOLLOW DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2143
Country	:	US
Telephone Number	:	702-436-1364
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S RANCHO DR
Second Line	:	SUITE C-1
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3854
Country	:	US
Telephone Number	:	702-436-1364
Fax Number	:

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	06/22/2016

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Directions to “ JOSEPH A DEBELLIS MD” Practice Location

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