Provider Demographics
NPI:1265857676
Name:VARICOSE VEIN & VASCULAR CLINIC LLC
Entity type:Organization
Organization Name:VARICOSE VEIN & VASCULAR CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:SAQUIB
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-833-8048
Mailing Address - Street 1:PO BOX 11393
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1393
Mailing Address - Country:US
Mailing Address - Phone:804-621-7262
Mailing Address - Fax:
Practice Address - Street 1:280 CHARLES H DIMMOCK PKWY STE 2
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2940
Practice Address - Country:US
Practice Address - Phone:804-621-7262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty