CENTER FOR VEIN RESTORATION GA2 CORP NPI 1114782968

NPI Information

NPI: 1114782968
Provider Name: CENTER FOR VEIN RESTORATION GA2 CORP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4350 TOWNE CENTRE DR STE 2000
EVANS, GA
ZIP 30809
Phone: (855) 830-8346
Get Directions

CENTER FOR VEIN RESTORATION GA2 CORP is a vascular surgery surgery in Evans, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CENTER FOR VEIN RESTORATION GA2 CORP NPI is 1114782968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4350 TOWNE CENTRE DR STE 2000
EVANS, GA
ZIP 30809-331
Phone: (855) 830-8346
Fax: (240) 473-4321

The provider's authorized official is Sanjiv Lakhanpal .
The authorized official title is Director and has the following contact phone number (855) 830-8346.

The enumeration date for this NPI number is 2/20/2024 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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