Provider Demographics
NPI:1912074048
Name:HANDLER, HARVEY L (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:L
Last Name:HANDLER
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 1:5300 HARROUN RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560
Mailing Address - Country:US
Mailing Address - Phone:419-885-3400
Mailing Address - Fax:419-824-1788
Practice Address - Street 1:5300 HARROUN RD
Practice Address - Street 2:SUITE 126
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560
Practice Address - Country:US
Practice Address - Phone:419-885-3400
Practice Address - Fax:419-824-1788
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032018207N00000X
MI4301048086207N00000X
IN01022758A207N00000X
CAC35940207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHA0415062Medicare ID - Type Unspecified
A75417Medicare UPIN