Healthcare Provider Details

I. General information

NPI: 1609679984
Provider Name (Legal Business Name): MOUNTAIN SPRING VASCULAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 MEADOWBROOK SHOPPING CTR
CULPEPER VA
22701-3980
US

IV. Provider business mailing address

499 MEADOWBROOK SHOPPING CTR
CULPEPER VA
22701-3980
US

V. Phone/Fax

Practice location:
  • Phone: 844-333-8411
  • Fax:
Mailing address:
  • Phone: 888-628-8272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: SALMAN MUFTI
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 888-628-8272