Provider Demographics
NPI:1972145456
Name:CARDIOVASCULAR & VEIN ASSOCIATES PLLC
Entity type:Organization
Organization Name:CARDIOVASCULAR & VEIN ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:JANJUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-472-3533
Mailing Address - Street 1:PO BOX 171158
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38187-1158
Mailing Address - Country:US
Mailing Address - Phone:901-212-2579
Mailing Address - Fax:901-472-3534
Practice Address - Street 1:2785 SUMMER OAKS DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2883
Practice Address - Country:US
Practice Address - Phone:901-472-3533
Practice Address - Fax:901-472-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty