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NPI Code Detail

MEDICARE: VARICOSE VEIN & VASCULAR CLINIC LLC

MEDICARE: VARICOSE VEIN & VASCULAR CLINIC 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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1265857676
Entity Type Code : Organization
Provider Name (Legal Business Name) : VARICOSE VEIN & VASCULAR CLINIC LLC
Provider Business Mailing Address
First Line : PO BOX 11393
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1393
Country : US
Telephone Number : 804-621-7262
Fax Number :
Provider Business Practice Location Address
First Line : 280 CHARLES H DIMMOCK PKWY STE 2
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-2940
Country : US
Telephone Number : 804-621-7262
Fax Number :
Authorized Official
Title or Position : OWNER OF ENTITY
Name : SAQUIB SAMEE
Credential : M.D.
Telephone Number : 804-833-8048
Provider Enumeration Date : 02/21/2014
Last Update Date : 01/29/2024

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Directions to “VARICOSE VEIN & VASCULAR CLINIC LLC ” Practice Location

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