Provider Demographics
NPI:1023751351
Name:VEIN CLINICS OF TRISTATE, LLC
Entity type:Organization
Organization Name:VEIN CLINICS OF TRISTATE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:ANJARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-793-9999
Mailing Address - Street 1:8044 MONTGOMERY RD
Mailing Address - Street 2:STE. 525
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2925
Mailing Address - Country:US
Mailing Address - Phone:513-793-9999
Mailing Address - Fax:
Practice Address - Street 1:8044 MONTGOMERY RD
Practice Address - Street 2:STE. 525
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2925
Practice Address - Country:US
Practice Address - Phone:513-793-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty