# VANTIS HEALTH LOUISIANA LLC

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

## Provider details

- **NPI number:** 1265345474
- **Authorized official:** DR. MINA KHAROT PAIMAN MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (224) 353-0333

## Contact information

- **Practice address:** 9211 FOREST HILL AVE STE 200, RICHMOND, VA 23235-6877
- **Practice address phone:** (224) 353-0333
- **Mailing address:** 2634 PATRIOT BLVD STE C, GLENVIEW, IL 60026-8024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026