Provider Demographics
NPI:1679052088
Name:VASCULAR CENTER USA PLLC
Entity type:Organization
Organization Name:VASCULAR CENTER USA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ABUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-219-2207
Mailing Address - Street 1:2512 148TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1433
Mailing Address - Country:US
Mailing Address - Phone:718-200-0723
Mailing Address - Fax:
Practice Address - Street 1:455 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5151
Practice Address - Country:US
Practice Address - Phone:516-418-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty