Organization
CENTER FOR VEIN RESTORATION KY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV LAKHANPAL MD (PRESIDENT)
(855) 830-8346
Entity
Organization
Contact information
Practice address
2054 E PARRISH AVE STE A, OWENSBORO, KY 42303-1448
(855) 830-8346
(855) 830-8346
Mailing address
7474 GREENWAY CENTER DR, SUITE 1000, GREENBELT, MD 20770-3504
(240) 965-3258
(240) 473-4323
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/23/2016
Last updated
04/30/2024
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