Provider Demographics
NPI:1386952869
Name:THE VASCULAR GROUP OF NAPLES
Entity type:Organization
Organization Name:THE VASCULAR GROUP OF NAPLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRANYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAJASINGHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-643-8794
Mailing Address - Street 1:2450 GOODLETTE RD N STE 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4595
Mailing Address - Country:US
Mailing Address - Phone:239-643-8794
Mailing Address - Fax:
Practice Address - Street 1:2450 GOODLETTE RD N STE 102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4595
Practice Address - Country:US
Practice Address - Phone:239-643-8794
Practice Address - Fax:239-643-9089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-19
Last Update Date:2010-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty