# AVANCE VEIN CARE LLC

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

## Provider details

- **NPI number:** 1376415133
- **Authorized official:** SATISH TADEPALLI MD (MEDICAL PROVIDER)
- **Authorized official phone:** (417) 849-8450

## Contact information

- **Practice address:** 1 WILSON DR, SPARTA, NJ 07871-4416
- **Practice address phone:** (417) 849-8450
- **Mailing address:** 1 WILSON DR, SPARTA, NJ 07871-4416
- **Mailing address phone:** (929) 260-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 07/17/2026