VALLEY VASCULAR ASSOCIATES LLC NPI 1851643654

NPI Information

NPI: 1851643654
Provider Name: VALLEY VASCULAR ASSOCIATES LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
91 EAST AVE
NORWALK, CT
ZIP 06851
Phone: (203) 855-9806
Get Directions

VALLEY VASCULAR ASSOCIATES LLC is a vascular surgery surgery in Norwalk, CT. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VALLEY VASCULAR ASSOCIATES LLC NPI is 1851643654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

91 EAST AVE
NORWALK, CT
ZIP 06851-020
Phone: (203) 855-9806
Fax: (203) 855-1135

The provider's authorized official is Chung K Shin .
The authorized official title is Managing Officer and has the following contact phone number (203) 855-9806.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 10/4/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	037720	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178311	OTHER	CONNECTICUT	WELLCARE
2	2322912	OTHER	CONNECTICUT	AETNA/US HEALTHCARE
3	010037720CT03	OTHER	CONNECTICUT	ANTHEM -NORWALK
4	770002444	OTHER	CONNECTICUT	MEDICARE RAILROAD
5	G92680	MEDICARE UPIN	CONNECTICUT
6	001377200	MEDICAID	CONNECTICUT
7	P2061278	OTHER	CONNECTICUT	OXFORD
8	770000032	MEDICARE PIN	CONNECTICUT
9	010037720CT02	OTHER	CONNECTICUT	ANTHEM - DERBY
10	3324246-004	OTHER	CONNECTICUT	CIGNA
11	010037720CT04	OTHER	CONNECTICUT	ANTHEM - BPT
12	037720	OTHER	CONNECTICUT	CONNECTICARE

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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