MEDICARE: VEIN CLINIC OF LAS VEGAS (BASHY) P.C.

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

Provider Business Mailing Address
First Line	:	1804 WINCANTON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6171
Country	:	US
Telephone Number	:	702-328-9988
Fax Number	:

Provider Business Practice Location Address
First Line	:	9060 W POST RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2419
Country	:	US
Telephone Number	:	702-838-0444
Fax Number	:	702-570-6228

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAJID HAJIZADEH BASHY
Credential	:	MD
Telephone Number	:	702-328-9988

Provider Enumeration Date	:	09/26/2023
Last Update Date	:	09/26/2023

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