Wyoming Vein LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

9196A Issued in WY

Legal business name

WYOMING VEIN LLC

Practice address

4112 Laramie St
Cheyenne, WY 82001-1969

Phone

(307) 670-5867

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Sairav Shah, MD

Title

Owner

Phone

(307) 570-5867

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1316433873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-670-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VEIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAIRAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-570-5867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WY",
            "license": "9196A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyoming Public Health Laboratory
• Wyoming Sciences LLC
• Wyoming Sleep Disorders Center
• Wyoming Spine & Neurosurgery
• Wyoming Spine and Neurosurgery Associates,LLC
• Wyoming Wic Program
• Wyostep, Inc.
• Andrea Lynn Wysong, MS, RDN
• Gerald Yaffa
• Weeranuj Yamreudeewong, PHARM.D.

• Interventional Cardiology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Interventional Cardiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.