Provider Demographics
NPI:1356399620
Name:WELLS, ORLANDIS L (MD)
Entity type:Individual
Prefix:
First Name:ORLANDIS
Middle Name:L
Last Name:WELLS
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:PO BOX 530124
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89053-0124
Mailing Address - Country:US
Mailing Address - Phone:702-568-6108
Mailing Address - Fax:702-568-8603
Practice Address - Street 1:9065 S PECOS RD STE 240
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7189
Practice Address - Country:US
Practice Address - Phone:702-568-6108
Practice Address - Fax:702-487-5773
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10558207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500636Medicaid
NVH93980Medicare UPIN
NV100500636Medicaid