MEDICARE: ADVANCE VEIN CARES INC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1780373134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE VEIN CARES INC

Provider Business Mailing Address
First Line	:	320 E WARM SPRINGS RD STE 4
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4282
Country	:	US
Telephone Number	:	870-718-0461
Fax Number	:	702-447-4982

Provider Business Practice Location Address
First Line	:	320 E WARM SPRINGS RD STE 4
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4282
Country	:	US
Telephone Number	:	870-718-0461
Fax Number	:	702-447-4982

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ADNAN SADIQ
Credential	:
Telephone Number	:	870-718-0461

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	05/02/2023

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Directions to “ADVANCE VEIN CARES INC ” Practice Location

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