# BAY AREA VEIN AND VASCULAR CENTER

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

## Provider details

- **NPI number:** 1760771596
- **Authorized official:** DR. RAJU HARSHADRAI GANDHI M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (650) 697-2431

## Contact information

- **Practice address:** 1828 EL CAMINO REAL, SUITE 611, BURLINGAME, CA 94010-3120
- **Practice address phone:** (650) 697-2431
- **Practice address fax:** (650) 697-3659
- **Mailing address:** 1828 EL CAMINO REAL, SUITE 611, BURLINGAME, CA 94010-3103
- **Mailing address phone:** (650) 697-2431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G78571 | CA | Yes |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011