Provider Demographics
NPI:1164515417
Name:SUHANY, MARK VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:VINCENT
Last Name:SUHANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 ANTHEM VILLAGE DR
Mailing Address - Street 2:SUITE E-571
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5505
Mailing Address - Country:US
Mailing Address - Phone:702-292-6031
Mailing Address - Fax:
Practice Address - Street 1:2505 ANTHEM VILLAGE DR
Practice Address - Street 2:SUITE E-571
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5505
Practice Address - Country:US
Practice Address - Phone:702-292-6031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV66112084P0800X
TXG30812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry