Organization
CENTER FOR VEIN RESTORATION GA CORP
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
1100 JOHNSON FY RD NE STE 165, ATLANTA, GA 30342-1795
(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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/01/2020
Last updated
04/30/2024
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