Organization
VEIN HEALTH CENTER OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA VALI M.D. (RESIDENT AGENT)
(443) 280-0255
Entity
Organization
Contact information
Practice address
12013 BROAD MEADOW LN, CLARKSVILLE, MD 21029-1258
(443) 253-3000
Mailing address
9801 GEORGIA AVE, SUITE 118, SILVER SPRING, MD 20902-5276
(301) 686-8555
(301) 593-9055
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
D0052861
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490747
MEDICARE PTAN
—
Enumeration date
10/12/2011
Last updated
10/12/2011
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