# ATLANTA LASER VEIN INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245638998
- **Authorized official:** DR. YAN KATSNELSON MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (847) 593-8460

## Contact information

- **Practice address:** 1050 E PIEDMONT RD, SUITE 104, MARIETTA, GA 30062-4758
- **Practice address phone:** (847) 305-3346
- **Practice address fax:** (224) 246-8042
- **Mailing address:** PO BOX 1602, NORTHBROOK, IL 60065-1602
- **Mailing address phone:** (847) 593-8460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2014
- **Last updated:** 12/22/2022