Provider Demographics
NPI:1326583410
Name:ADVANCED VASCULAR & VEIN CARE (AKHTAR)
Entity Type:Organization
Organization Name:ADVANCED VASCULAR & VEIN CARE (AKHTAR)
Other - Org Name:ADVANCED VASCULAR & VEIN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAHEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-789-7000
Mailing Address - Street 1:1500 E 2ND ST
Mailing Address - Street 2:#206
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1262
Mailing Address - Country:US
Mailing Address - Phone:775-789-7000
Mailing Address - Fax:775-789-7040
Practice Address - Street 1:343 ELM ST
Practice Address - Street 2:STE 308
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4522
Practice Address - Country:US
Practice Address - Phone:775-789-7000
Practice Address - Fax:775-789-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty