Organization Active NPI

Vein Institute of Arizona LLC

  • Vascular Surgery Physician
  • Chandler, AZ
National Provider Identifier
1346592524
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VEIN INSTITUTE OF ARIZONA LLC
Practice address
1343 North Alma School Road
Suite 160
Chandler, AZ 85224-5901
Phone
(480) 444-7447
Fax
(480) 726-0695
NPI assigned
Oct 11, 2012
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mrs. Anupam Ahlawat
Title
Director of Operations
Phone
(480) 294-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

1343 North Alma School Road
Suite 160
Chandler, AZ 85224-5901

Mailing address

1343 North Alma School Road
Suite 160
Chandler, AZ 85224-5901

Other identifiers 1

IdentifierTypeStateIssuer
750046MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1346592524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 NORTH ALMA SCHOOL ROAD",
            "address_2": "SUITE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245901",
            "fax_number": "480-726-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 NORTH ALMA SCHOOL ROAD",
            "address_2": "SUITE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245901",
            "telephone_number": "480-444-7447",
            "fax_number": "480-726-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN INSTITUTE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "AHLAWAT",
        "authorized_official_first_name": "ANUPAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-294-4494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750046",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.