Organization · Type 2 NPI
USA Vein Clinics of Chantilly LLC
Vascular Surgery Physician · Chantilly, VA
NPI number
1124670930
Active
Practice location
3914 Centreville Rd Ste 125
Chantilly, VA 20151-3289
Fax (224) 235-4652
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
Other vascular surgery physician providers in Chantilly
About NPI 1124670930
USA Vein Clinics of Chantilly LLC's National Provider Identifier is 1124670930, issued on Jul 11, 2019. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Chantilly, VA. The record was last updated on Jul 11, 2019.