# CENTER FOR VEIN RESTORATION LA LLC

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

## Provider details

- **NPI number:** 1497583207
- **Authorized official:** SANJIV LAKHANPAL MD (CEO/PRESIDENT)
- **Authorized official phone:** (855) 830-8346

## Contact information

- **Practice address:** 1 GALLERIA BLVD STE 100, METAIRIE, LA 70001-7597
- **Practice address phone:** (855) 830-8346
- **Practice address fax:** (240) 473-4321
- **Mailing address:** 7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
- **Mailing address phone:** (855) 830-8346
- **Mailing address fax:** (240) 473-4321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024