Center For Vein Restoration Nm LLC
Internal Medicine, Cardiovascular Disease in Rio Rancho, NM. Organization (NPI-2).
NPI number1891342994
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1891342994
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Vein Restoration Nm LLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2019
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
2220 Grande Blvd Se Ste 1bRio Rancho, NM 87124-1687
Phone 855-830-8346
Mailing address
7474 Greenway Center Dr Ste 1000Greenbelt, MD 20770-3500
Phone 855-830-8346 · Fax 240-473-4321
Other practice locations
801 Encino Pl Ne Ste C12
Albuquerque, NM 87102-2618
Albuquerque, NM 87102-2618
Phone 855-830-8346
Authorized official
Sanjiv Lakhanpal
Ceo
8558308346
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