Organization Name: | THE VEIN CENTER OF NORTHEAST OHIO, LTD |
NPI Number: | 1578693966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAO SUDHEENDRA (DOCTOR) |
Mailing Address: | 4100 Youngstown Rd Se Suite B Warren |
State: | OH US |
Postal Code: | 444843346 |
Phone Number: | 3303060300 |
Fax Number: | 3303060700 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35-039233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |