# INTERVENTIONAL VEIN & VASCULAR INSTITUTE PC

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

## Provider details

- **NPI number:** 1396144978
- **Authorized official:** DR. KARTIK SHAH MD (PRESIDENT)
- **Authorized official phone:** (844) 438-4884

## Contact information

- **Practice address:** 6 N PENRYN RD, MANHEIM, PA 17545-9326
- **Practice address phone:** (844) 438-4884
- **Practice address fax:** (717) 293-1470
- **Mailing address:** 6 N PENRYN RD, MANHEIM, PA 17545-9326
- **Mailing address phone:** (844) 438-4884
- **Mailing address fax:** (717) 293-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | MD423540 | PA | Yes |

## Other

- **Enumeration date:** 08/19/2014
- **Last updated:** 08/19/2014
