Wyoming Vein LLC

NPI #1316433873 in Cheyenne, Wyoming

Provider Information

NPI Number: 1316433873
Entity Type: Organization
Organization Name: Wyoming Vein LLC
Primary Specialty: Internal Medicine - Interventional Cardiology
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 4112 LARAMIE ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-1969
Phone: (307) 670-5867

Authorized Official

Name: SAIRAV SHAH, MD
Title: OWNER
Phone: (307) 570-5867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X	Primary

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