Vein Clinic PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

46358 Issued in MN

Legal business name

VEIN CLINIC PA

Practice address

13954 Cypress Dr
Suite 102
Baxter, MN 56425-8810

Phone

(218) 316-3001

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sameer Guppta, MD

Title

Owner

Phone

(952) 641-4472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1629357199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WAYZATA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052125",
            "telephone_number": "218-454-0095",
            "fax_number": "952-934-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13954 CYPRESS DR",
            "address_2": "SUITE 102",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258810",
            "telephone_number": "218-316-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GUPPTA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-641-4472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "46358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Baxter, MN
• Providers in Baxter, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.