A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Medical Specialty |
261QM2500X |
| NPI Number | 1497062830 |
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| LBN Legal business name | ADVANCED VEIN & VASCULAR ASSOCIATES | ||||
| Authorized official | HUMAM KAKISH - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/07/2010 | ||||
| Last updated | 07/24/2024 - More than a year ago | ||||
| Identifiers |
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ADVANCED VEIN & VASCULAR ASSOCIATES
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