NPIMap

Organization Active NPI

The Medical Clinic

Doing business as Center for Vein Restoration

  • Specialist
  • Annandale, VA
National Provider Identifier
1477885341
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0053733 Issued in MD
Legal business name
THE MEDICAL CLINIC
Doing business as
Center for Vein Restoration
Practice address
4217 Evergreen LN
Annandale, VA 22003-3210
Phone
(301) 886-8363
Fax
(301) 441-8806
NPI assigned
Feb 3, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Sanjiv Lakhanpal, MDNPI 1124074083
Title
President
Phone
(240) 460-1073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0053733 MD Primary

Addresses

Primary practice location

4217 Evergreen LN
Annandale, VA 22003-3210

Mailing address

12200 Annapolis Rd
Ste 225
Glenn Dale, MD 20769-9182
Phone (301) 860-0930

Other identifiers 2

IdentifierTypeStateIssuer
893LOtherMDMEDICARE ID
G00397OtherDCMEDICARE ID

Other names 1

  • Center for Vein Restoration Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanjiv Lakhanpal MD36 organizations share this tax ID, including this one
Part of
Sanjiv Lakhanpal MD

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1477885341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "STE 225",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-860-0930",
            "fax_number": "301-809-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "301-886-8363",
            "fax_number": "301-441-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICAL CLINIC",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "LAKHANPAL",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-460-1073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0053733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "893L",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G00397",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Vein Restoration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.