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MODERN VASCULAR - NAVAJO LLC NPI 1285126706


NPI Information

NPI: 1285126706
Provider Name: MODERN VASCULAR - NAVAJO LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
7800 CONSTITUTION AVE NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 278-9160
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MODERN VASCULAR - NAVAJO LLC is a vascular and interventional radiology radiology in Albuquerque, NM. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. MODERN VASCULAR - NAVAJO LLC NPI is 1285126706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7800 CONSTITUTION AVE NE
ALBUQUERQUE, NM
ZIP 87110-552
Phone: (505) 278-9160
Fax: (505) 278-9170

The provider's authorized official is Yury Gampel .
The authorized official title is Manager and has the following contact phone number (818) 880-8605.

The enumeration date for this NPI number is 5/31/2018 and was last updated on 4/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RI0011XInternal MedicineInterventional CardiologyNo
4213E00000XPodiatristNo
52085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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