Organization
ADVANCED VEIN THERAPEUTICS
Active
Organization
ADVANCED VEIN THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURINDRA N MITRUKA MD (PHYSICIAN PARTNER)
(760) 568-4361
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, K108, RANCHO MIRAGE, CA 92270
(760) 568-3461
(760) 568-6470
Mailing address
39000 BOB HOPE DR, K108, RANCHO MIRAGE, CA 92270
(760) 568-3461
(760) 568-6470
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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