BAY AREA VEIN AND VASCULAR CENTER NPI 1760771596

NPI Information

BAY AREA VEIN AND VASCULAR CENTER is a vascular surgery surgery in Burlingame, 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. BAY AREA VEIN AND VASCULAR CENTER NPI is 1760771596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1828 EL CAMINO REAL
SUITE 611
BURLINGAME, CA
ZIP 94010-120
Phone: (650) 697-2431
Fax: (650) 697-3659

The provider's authorized official is Raju Harshadrai Gandhi .
The authorized official title is President/owner and has the following contact phone number (650) 697-2431.

The CLIA number assigned to this NPI record is 05D2004895 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2011 and was last updated on 4/1/2011.

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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