Active NPI
Center for Vein Restoration Ga2 Corp
- Vascular Surgery Physician
- Evans, GA
National Provider Identifier
1114782968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- CENTER FOR VEIN RESTORATION GA2 CORP
- Practice address
- 4350 Towne Centre Dr Ste 2000
Evans, GA 30809-3331 - Phone
- (855) 830-8346
- Fax
- (240) 473-4321
- NPI assigned
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjiv Lakhanpal, MD
- Title
- Director
- Phone
- (855) 830-8346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
4350 Towne Centre Dr Ste 2000
Evans, GA 30809-3331
Mailing address
7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Phone (855) 830-8346
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1114782968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 1000",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703500",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 TOWNE CENTRE DR STE 2000",
"city": "EVANS",
"state": "GA",
"postal_code": "308093331",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR VEIN RESTORATION GA2 CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "LAKHANPAL",
"authorized_official_first_name": "SANJIV",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "855-830-8346",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.