| Usa Vein Clinics Of Kent, Pllc | |
|
23914 100th Ave Se Kent WA 98031-4294 | |
| (206) 508-8768 | |
| (224) 246-8042 |
| Full Name | Usa Vein Clinics Of Kent, Pllc |
|---|---|
| Speciality | Surgery |
| Location | 23914 100th Ave Se, Kent, Washington |
| Authorized Official Name and Position | Yan Katsnelson (OWNER) |
| Authorized Official Contact | 8472571244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usa Vein Clinics Of Kent, Pllc Po Box 1602 Northbrook IL 60065-1602 Ph: (847) 257-1244 | Usa Vein Clinics Of Kent, Pllc 23914 100th Ave Se Kent WA 98031-4294 Ph: (206) 508-8768 |
| NPI Number | 1770971871 |
|---|---|
| Provider Enumeration Date | 12/26/2014 |
| Last Update Date | 12/26/2014 |
| Medicare PECOS PAC ID | 9335466762 |
|---|---|
| Medicare Enrollment ID | O20150324002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770971871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Mitchell D Cahn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164461331 PECOS PAC ID: 0648162966 Enrollment ID: I20040329001769 |
| Provider Name | Joseph Ungar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669645065 PECOS PAC ID: 5496079139 Enrollment ID: I20150303000022 |
| Provider Name | Yan Katsnelson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285672840 PECOS PAC ID: 4284609413 Enrollment ID: I20150324002846 |
| Provider Name | Edmond K Safarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073587945 PECOS PAC ID: 2264426360 Enrollment ID: I20201201002580 |
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