Healthcare Provider Details

I. General information

NPI: 1023897295
Provider Name (Legal Business Name): VEIN CLINIC OF LAS VEGAS (BASHY) P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9060 W POST RD STE 200
LAS VEGAS NV
89148-2419
US

IV. Provider business mailing address

1804 WINCANTON DR
LAS VEGAS NV
89134-6171
US

V. Phone/Fax

Practice location:
  • Phone: 702-838-0444
  • Fax: 702-570-6228
Mailing address:
  • Phone: 702-328-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAJID HAJIZADEH BASHY
Title or Position: OWNER
Credential: MD
Phone: 702-328-9988