USA Vein Clinics of Chantilly LLC

NPI #1124670930 in Chantilly, Virginia

Provider Information

NPI Number: 1124670930
Entity Type: Organization
Organization Name: USA Vein Clinics of Chantilly LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jul 11, 2019
Last Updated: Jul 11, 2019

Practice Location

Address: 3914 CENTREVILLE RD STE 125
City: Chantilly
State: Virginia
ZIP Code: 20151-3289
Phone: (847) 593-8460

Authorized Official

Name: AMI ALMEDA
Title: CREDENTIALING MANAGER
Phone: (224) 318-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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