# USA VEIN CLINICS OF MISSISSIPPI LLC

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

## Provider details

- **NPI number:** 1255025078
- **Authorized official:** YAN KATSNELSON (CEO)
- **Authorized official phone:** (847) 774-5300

## Contact information

- **Practice address:** 7900 AIRWAYS BLVD \# A, STE 6, SOUTHAVEN, MS 38671-4117
- **Practice address phone:** (847) 593-8460
- **Mailing address:** PO BOX 791, NORTHBROOK, IL 60065-0791

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 08/31/2023