Organization Name: | UNIVERSAL VEIN CLINICS, LLC |
NPI Number: | 1437406261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GABRIEL KRENITSKY (OWNER) |
Mailing Address: | 495 Metro Place North Suite 195 Dublin |
State: | OH US |
Postal Code: | 43017 |
Phone Number: | 6146026455 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2012 |
NPI Last Update Date: | 08/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 77159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |