# AMERICAN VEIN INSTITUTE LLC

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

## Provider details

- **NPI number:** 1487196424
- **Authorized official:** DAVID LI MD (OWNER)
- **Authorized official phone:** (260) 418-2427

## Contact information

- **Practice address:** 10020 DUPONT CIRCLE CT STE 140, FORT WAYNE, IN 46825-1621
- **Practice address phone:** (260) 418-2427
- **Practice address fax:** (260) 489-4188
- **Mailing address:** 10020 DUPONT CIRCLE CT STE 140, FORT WAYNE, IN 46825-1621
- **Mailing address phone:** (260) 418-2427
- **Mailing address fax:** (260) 489-4188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 11/08/2016