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NPI Code Detail

MEDICARE: REGION VEIN

MEDICARE: REGION VEIN
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
1202K00000XPhlebology Physician

General Provider Information

NPI Number : 1639794597
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGION VEIN
Provider Business Mailing Address
First Line : 931 RIDGE RD STE C
Second Line :
City : MUNSTER
State : IN
Zip : 46321-1756
Country : US
Telephone Number : 219-595-3095
Fax Number : 219-881-8776
Provider Business Practice Location Address
First Line : 931 RIDGE RD STE C
Second Line :
City : MUNSTER
State : IN
Zip : 46321-1756
Country : US
Telephone Number : 219-595-3095
Fax Number : 219-881-8776
Authorized Official
Title or Position : OWNER
Name : DEMETRIOS KARAMICHOS
Credential : MD
Telephone Number : 219-595-3095
Provider Enumeration Date : 06/16/2020
Last Update Date : 06/22/2020

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Directions to “REGION VEIN ” 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.