MEDICARE: VEIN & VASCULAR LLC

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
1	202K00000X	Phlebology Physician

General Provider Information

NPI Number	:	1003704867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEIN & VASCULAR LLC

Provider Business Mailing Address
First Line	:	4603 SANDALWOOD DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-9634
Country	:	US
Telephone Number	:	505-363-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 S TELSHOR BLVD STE 1460
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8607
Country	:	US
Telephone Number	:	505-363-3377
Fax Number	:	575-205-0306

Authorized Official
Title or Position	:	OWNER
Name	:	CHANDRAN VEDAMANIKAM
Credential	:	MD
Telephone Number	:	505-363-3377

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	02/09/2026

Similar Medicare Providers

1548221583 — MRS. ERIN RAY ANN ELLIS RN, MS, FNP-BC
Practice Location Address:

7040 SMOKE RANCH RD
LAS VEGAS, NV
89128-8607

Practice Phone: 702-792-6700
Practice Fax: 401-652-9787

1154585990 — CHANDRAN VEDAMANIKAM M.D.
Practice Location Address:

3825 EUBANK BLVD NE STE H
ALBUQUERQUE, NM
87111-3559

Practice Phone: 505-350-3397
Practice Fax: 505-323-7980

1619012192 — DR. MAJID HAJIZADEH BASHY M.D.
Practice Location Address:

9060 W. POST RD , SUITE #200
LAS VEGAS, NV
89148

Practice Phone: 702-838-0444
Practice Fax: 702-570-6228

1245496017 — VEIN CLINIC OF LAS VEGAS INC
Practice Location Address:

3309 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1835

Practice Phone: 702-838-0444
Practice Fax: 702-878-8643

1538314661 — DR. RALPH LUIGI CARULLO M.D.
Practice Location Address:

7580 W SAHARA AVE
LAS VEGAS, NV
89117-2742

Practice Phone: 702-852-2020
Practice Fax: 702-821-1704

1174096978 — FAUZIA CARULLO MD PROF CORP
Practice Location Address:

7580 W SAHARA AVE
LAS VEGAS, NV
89117-2742

Practice Phone: 702-852-2020
Practice Fax: 702-821-1704

Directions to “VEIN & VASCULAR LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.