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EUGENE VITVITSKY MD NPI 1265657969


NPI Information

NPI: 1265657969
Provider Name: EUGENE VITVITSKY MD

Doing Business As: HAVASU VEIN CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2046 BURKE LANE
LAKE HAVASU CITY, AZ
ZIP 86406
Phone: (928) 855-4411
Get Directions

EUGENE VITVITSKY MD is a vascular surgery surgery in Lake Havasu City, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. EUGENE VITVITSKY MD NPI is 1265657969. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Havasu Vein Center.

The provider's business location address is:

2046 BURKE LANE
LAKE HAVASU CITY, AZ
ZIP 86406
Phone: (928) 855-4411
Fax: (928) 855-4418

The provider's authorized official is Eugene Vitvitsky .
The authorized official title is Co-owner and has the following contact phone number (928) 855-4411.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery35142ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0440881OTHERARIZONABLUE CROSS OF ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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