# VEIN CLINIC SAINT JOSEPH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alsara Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306203120
- **Authorized official:** SAMEER GUPTA M.D. (PRESIDENT)
- **Authorized official phone:** (844) 425-7272

## Contact information

- **Practice address:** 1105 S BELT HWY, SAINT JOSEPH, MO 64507-2532
- **Practice address phone:** (844) 425-7272
- **Practice address fax:** (816) 558-6544
- **Mailing address:** PO BOX 8694, SAINT JOSEPH, MO 64508-8694
- **Mailing address phone:** (816) 396-0245
- **Mailing address fax:** (816) 558-6544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2005006001 | MO | Yes |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 10/27/2021