# NORTHEAST OHIO VASCULAR ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1578662102
- **Authorized official:** DR. VIKRAM K RAO M.D. (OWNER)
- **Authorized official phone:** (440) 269-8346

## Contact information

- **Practice address:** 36445 BILTMORE PL STE A, WILLOUGHBY, OH 44094-8228
- **Practice address phone:** (216) 645-7242
- **Practice address fax:** (440) 975-5763
- **Mailing address:** PO BOX 1086, WILLOUGHBY, OH 44096-1086
- **Mailing address phone:** (440) 269-8346
- **Mailing address fax:** (440) 975-5763

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 04/19/2022