Vein Clinic PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

1759 Issued in MN

Legal business name

VEIN CLINIC PA

Practice address

2801 Wayzata Blvd
Minneapolis, MN 55405-2138

Phone

(952) 934-3296

Fax

(888) 389-5033

NPI assigned

Aug 31, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sameer Guptqa, MD

Title

President/Ceo

Phone

(952) 934-3296

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1265781629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WAYZATA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052138",
            "telephone_number": "952-934-3296",
            "fax_number": "888-389-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WAYZATA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052138",
            "telephone_number": "952-934-3296",
            "fax_number": "888-389-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "GUPTQA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-934-3296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523130",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C05399",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatyana Aleksandrovna Vecherkova, LADC
• Angela Fimbres Veesenmeyer, MD
• Richard K Vehe, MD
• Kari Margaret Veicht
• Lee Ann Veiman, RT(R)
• Kayley Renee Argenbright Vela, FNP-C
• Pratik Srinivas Velangi, MD
• Elijah Velasquez
• Jasmine Emily Velazquez
• Richard S Velders, MD

• Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.