VASCULAR AND ENDOVASCULAR SURGERY PC NPI 1215407218

NPI Information

VASCULAR AND ENDOVASCULAR SURGERY, PC is a vascular surgery surgery in San Jose, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR AND ENDOVASCULAR SURGERY, PC NPI is 1215407218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2505 SAMARITAN DR STE 503
SAN JOSE, CA
ZIP 95124-015
Phone: (408) 558-3600
Fax: (408) 614-2001

The provider's authorized official is Abid C Mogannam .
The authorized official title is Vascular Surgeon and has the following contact phone number (408) 899-8272.

The enumeration date for this NPI number is 12/3/2018 and was last updated on 12/4/2018.

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:

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