Organization
USA VEIN CLINICS OF DECATUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON M.D. (OWNER)
(847) 305-3346
Entity
Organization
Contact information
Practice address
495 WINN WAY, SUITE 220, DECATUR, GA 30030-1736
(847) 305-3346
Mailing address
495 WINN WAY, SUITE 220, DECATUR, GA 30030-1736
(847) 305-3346
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
10/17/2014
Last updated
10/06/2025
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