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NPI Code Detail

MEDICARE: VEIN CLINIC OF LAS VEGAS INC

MEDICARE: VEIN CLINIC OF LAS VEGAS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2202K00000XPhlebology Physician

General Provider Information

NPI Number : 1245496017
Entity Type Code : Organization
Provider Name (Legal Business Name) : VEIN CLINIC OF LAS VEGAS INC
Provider Business Mailing Address
First Line : 3309 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1835
Country : US
Telephone Number : 702-838-0444
Fax Number : 702-878-8643
Provider Business Practice Location Address
First Line : 3309 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1835
Country : US
Telephone Number : 702-838-0444
Fax Number : 702-878-8643
Authorized Official
Title or Position : OWNER
Name : MAJID H BASHY
Credential :
Telephone Number : 702-838-0444
Provider Enumeration Date : 07/31/2008
Last Update Date : 02/13/2009

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Directions to “VEIN CLINIC OF LAS VEGAS INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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