Provider Demographics
NPI:1376985648
Name:HEART AND VEIN CENTER
Entity Type:Organization
Organization Name:HEART AND VEIN CENTER
Other - Org Name:HEART AND VASCULAR INSTITUTE OF WINCHESTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BASABI
Authorized Official - Middle Name:BALLAV
Authorized Official - Last Name:VIRMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-535-0000
Mailing Address - Street 1:650 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6452
Mailing Address - Country:US
Mailing Address - Phone:540-535-0000
Mailing Address - Fax:540-535-0032
Practice Address - Street 1:650 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6452
Practice Address - Country:US
Practice Address - Phone:540-535-0000
Practice Address - Fax:540-535-0032
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEART AND VASCULAR INSTITUTE OF WINCHESTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty