Provider Demographics
NPI:1245496017
Name:VEIN CLINIC OF LAS VEGAS INC
Entity type:Organization
Organization Name:VEIN CLINIC OF LAS VEGAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:H
Authorized Official - Last Name:BASHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-838-0444
Mailing Address - Street 1:3309 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1835
Mailing Address - Country:US
Mailing Address - Phone:702-838-0444
Mailing Address - Fax:702-878-8643
Practice Address - Street 1:3309 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1835
Practice Address - Country:US
Practice Address - Phone:702-838-0444
Practice Address - Fax:702-878-8643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty