Organization
CENTER FOR VEIN RESTORATION SC2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV LAKHANPAL MD (PRESIDENT/CEO)
(855) 830-8346
Entity
Organization
Contact information
Practice address
1725 DEVONSHIRE DR, COLUMBIA, SC 29204-2404
(855) 830-8346
(240) 473-4321
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(855) 830-8346
(240) 473-4321
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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