# POLYXENE GAZETAS KOKINOS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Bay Vascular Center and Vein Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831687672
- **Authorized official:** POLYXENE KOKINOS MD (OWNER)
- **Authorized official phone:** (408) 218-6482

## Contact information

- **Practice address:** 2255 S BASCOM AVE STE 200, CAMPBELL, CA 95008-7800
- **Practice address phone:** (408) 376-3626
- **Mailing address:** 2255 S BASCOM AVE STE 200, CAMPBELL, CA 95008-7800
- **Mailing address phone:** (408) 376-3626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2018
- **Last updated:** 04/10/2026