# UNITED VASCULAR & VEIN CENTER PLLC

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

## Provider details

- **NPI number:** 1730592353
- **Authorized official:** JOHN A ADENIYI MD (PRESIDENT)
- **Authorized official phone:** (304) 842-3993

## Contact information

- **Practice address:** 527 MEDICAL PARK DR STE 501, BRIDGEPORT, WV 26330
- **Practice address phone:** (304) 842-3993
- **Practice address fax:** (304) 842-4083
- **Mailing address:** 1370 JOHNSON AVE, SUITE 202, BRIDGEPORT, WV 26330-1492
- **Mailing address phone:** (304) 842-3993
- **Mailing address fax:** (304) 842-4083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 21293 | WV | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 03/25/2024