Vasana Cheanvechai MD LTD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

11662 Issued in NV

Legal business name

VASANA CHEANVECHAI MD LTD

Practice address

501 S Rancho Dr
Suite F 38
Las Vegas, NV 89106-4828

Phone

(702) 258-1173

Fax

(702) 258-1293

NPI assigned

Jul 12, 2007

Last updated

Apr 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vasana Cheanvechai, MD

Title

President

Phone

(702) 258-1173

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1467651331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR",
            "address_2": "SUITE 4321",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-258-1173",
            "fax_number": "702-258-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR",
            "address_2": "SUITE F 38",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064828",
            "telephone_number": "702-258-1173",
            "fax_number": "702-258-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASANA CHEANVECHAI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "CHEANVECHAI",
        "authorized_official_first_name": "VASANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-258-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NV",
            "license": "11662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE",
            "identifier": "101864",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "100508393",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX BS",
            "identifier": "CC1844",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Varsolona
• Lusine N Vartanian
• Sofa Vartanyan
• Susana Vasallo Rodriguez
• Yuleisy Vasallo-Olazabal
• Sannah Vasaya, DO
• Vascular Institute of Vegas
• Vascular Neurology Las Vegas LLC
• Yasaman Vaseghi, MD
• Yanitza Marmolejos Vaseur

• Vascular Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Vascular Surgery Physician in Nevada

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