Vein Clinic of Lake Havasu
NPI #1285188763 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1285188763
- Entity Type
- Organization
- Organization Name
- Vein Clinic of Lake Havasu
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 12, 2016
- Last Updated
- Oct 19, 2016
Practice Location
- Address
- 2156 RUDOLPH DR
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86406-8106
- Phone
- (928) 453-1800
Authorized Official
- Name
- BOBBY A SHAH, MD
- Title
- OWNER
- Phone
- (928) 453-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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