Provider Demographics
NPI:1184323651
Name:CENTER FOR VEIN DISEASE PLLC
Entity type:Organization
Organization Name:CENTER FOR VEIN DISEASE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRU
Authorized Official - Middle Name:
Authorized Official - Last Name:SONDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FACP,DABVLM
Authorized Official - Phone:571-239-3856
Mailing Address - Street 1:8537 GEORGETOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-1205
Mailing Address - Country:US
Mailing Address - Phone:571-239-3856
Mailing Address - Fax:703-288-4775
Practice Address - Street 1:5454 WISCONSIN AVE # 1665
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:571-239-3856
Practice Address - Fax:703-288-4775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty