Provider Demographics
NPI:1053377911
Name:BELSKY, MARJORIE E (MD)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:E
Last Name:BELSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 W. SUNSET RD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-968-6259
Mailing Address - Fax:702-987-3219
Practice Address - Street 1:9333 W. SUNSET RD
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-968-6259
Practice Address - Fax:702-987-3219
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11655207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV121061Medicare UPIN
NV101992Medicare ID - Type Unspecified