Provider Demographics
NPI:1326062811
Name:ANGIOCATH LLC
Entity Type:Organization
Organization Name:ANGIOCATH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARNATH
Authorized Official - Middle Name:
Authorized Official - Last Name:VEDERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-625-5244
Mailing Address - Street 1:3385 BURNS RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4328
Mailing Address - Country:US
Mailing Address - Phone:561-625-5244
Mailing Address - Fax:561-799-9569
Practice Address - Street 1:3385 BURNS RD
Practice Address - Street 2:SUITE 108
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4328
Practice Address - Country:US
Practice Address - Phone:561-625-5244
Practice Address - Fax:561-799-9569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-012207RC0000X
FLOS 012293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Not Answered293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1218Medicare UPIN