Provider Demographics
NPI:1982162392
Name:VEIN AND LEG CLINIC LLC
Entity type:Organization
Organization Name:VEIN AND LEG CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-593-9612
Mailing Address - Street 1:11120 NEW HAMPSHIRE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2680
Mailing Address - Country:US
Mailing Address - Phone:301-593-9612
Mailing Address - Fax:301-593-6290
Practice Address - Street 1:11120 NEW HAMPSHIRE AVE STE 300
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2680
Practice Address - Country:US
Practice Address - Phone:301-593-9612
Practice Address - Fax:301-593-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty