Metro Vein Clinic, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

51470 Issued in MN

Legal business name

METRO VEIN CLINIC, PA

Practice address

7362 University Ave NE
Ste 201
Fridley, MN 55432-3142

Phone

(612) 789-8346

Fax

(763) 432-6780

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kamran Afzal, MBBSNPI 1396763066

Title

Owner/Provider

Phone

(612) 789-8346

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamran Afzal, M.D.

  • Internal Medicine Physician
  • Fridley, MN
  • NPI 1396763066
  Authorized official Same address or phone
• Alicia Marie Skupa, PA-C

  • Physician Assistant
  • Hugo, MN
  • NPI 1982946356
  NPD

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1356671267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HARBOR LN N",
            "address_2": "SUITE 170",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475102",
            "telephone_number": "612-789-8346",
            "fax_number": "612-432-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE",
            "address_2": "STE 201",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "612-789-8346",
            "fax_number": "763-432-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO VEIN CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "AFZAL",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "612-789-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MBBS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "51470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Brent Merriman, M.A., LMFT
• Metro Health Services, Inc. (Metro Adult Day Program)
• Metro Therapy Special Children's Clinic
• Metro Therapy Special Children's Clinic, Inc
• Metro Therapy Special Children's Clinic, Inc
• Metropolitan Cardiology Consultants
• Metropolitan Pediatric Dental Associates, LTD
• Mark Alan Meyer, MA, LP
• Mill City Home Health Care Inc.
• Ashley Miller

• Internal Medicine Physician in Fridley, MN
• Providers in Fridley, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.