Organization
MODERN VASCULAR AND VEIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZAR GOLEWALE MD (OWNER)
(574) 334-0336
Entity
Organization
Contact information
Practice address
8127 MERRILLVILLE RD STE 1, MERRILLVILLE, IN 46410-6306
(219) 208-6218
(475) 275-8031
Mailing address
244 W CENTRAL AVE, LOMBARD, IL 60148-3813
(219) 208-6218
(219) 359-3679
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
05/16/2022
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