| Columbus Vascular Vein And Wound Center Llc | |
|
450 Alkyre Run Drive 350 Westerville OH 43082-6909 | |
| (614) 917-0696 | |
| (888) 732-7890 |
| Full Name | Columbus Vascular Vein And Wound Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 Alkyre Run Drive, Westerville, Ohio |
| Authorized Official Name and Position | Rajmony Pannu (MEMBER) |
| Authorized Official Contact | 6148001995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Vascular Vein And Wound Center Llc 450 Alkyre Run Drive 350 Westerville OH 43082-6909 Ph: (614) 800-1995 | Columbus Vascular Vein And Wound Center Llc 450 Alkyre Run Drive 350 Westerville OH 43082-6909 Ph: (614) 917-0696 |
| NPI Number | 1275930927 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 05/11/2022 |
| Medicare PECOS PAC ID | 4880910330 |
|---|---|
| Medicare Enrollment ID | O20150227002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275930927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hooman Khabiri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508817990 PECOS PAC ID: 5294760369 Enrollment ID: I20050928000656 |
| Provider Name | Mark R Gazall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124068622 PECOS PAC ID: 3870580103 Enrollment ID: I20060608000340 |
| Provider Name | James M Sinard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548268675 PECOS PAC ID: 8022041136 Enrollment ID: I20081003000747 |
| Provider Name | Christine M Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447230008 PECOS PAC ID: 8820140031 Enrollment ID: I20090720000360 |
| Provider Name | Thomas Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184697989 PECOS PAC ID: 2365451077 Enrollment ID: I20130312000603 |
| Provider Name | Rajmony S Pannu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326232984 PECOS PAC ID: 8325191554 Enrollment ID: I20131011000424 |
| Provider Name | Kayla Reiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194343376 PECOS PAC ID: 5092130336 Enrollment ID: I20200804002881 |
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