Organization
VEIN ABLATION SPECIALISTS AND CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY MHATRE MD (OWNER)
(386) 344-0653
Entity
Organization
Contact information
Practice address
7047 E GREENWAY PKWY STE 250, SCOTTSDALE, AZ 85254-8113
(386) 344-0653
Mailing address
9590 E IRONWOOD SQUARE DR STE 125, SCOTTSDALE, AZ 85258-4583
(480) 455-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284064
—
AZ
Enumeration date
05/22/2017
Last updated
07/21/2022
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