Provider Demographics
NPI:1972158566
Name:ADVANCED VEINS AND VASCULAR MANAGEMENT PLC
Entity Type:Organization
Organization Name:ADVANCED VEINS AND VASCULAR MANAGEMENT PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ABEDEL
Authorized Official - Middle Name:KARIM
Authorized Official - Last Name:ABUSHMAIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-830-7735
Mailing Address - Street 1:3271 W CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9458
Mailing Address - Country:US
Mailing Address - Phone:517-437-3879
Mailing Address - Fax:
Practice Address - Street 1:3271 W CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9458
Practice Address - Country:US
Practice Address - Phone:517-437-3879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty