Provider Demographics
NPI:1174168926
Name:CENTER FOR VARICOSE VEINS, LLC
Entity type:Organization
Organization Name:CENTER FOR VARICOSE VEINS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DABVLM
Authorized Official - Phone:860-997-7498
Mailing Address - Street 1:35 DANBURY RD STE 9
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4444
Mailing Address - Country:US
Mailing Address - Phone:203-762-6365
Mailing Address - Fax:203-762-6367
Practice Address - Street 1:35 DANBURY RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4428
Practice Address - Country:US
Practice Address - Phone:203-529-5521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty