Organization
LAFAYETTE VEIN AND VASCULAR CENTER LLC
Active
Other names
Lafayette Vein and Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOAIB SHAFIQUE MD (CEO)
(317) 938-3989
Entity
Organization
Contact information
Practice address
3900 ST FRANCIS WAY STE 201, LAFAYETTE, IN 47905-4925
(765) 404-1454
Mailing address
2809 IBIS CT, WEST LAFAYETTE, IN 47906-6625
(765) 404-1454
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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