MODERN VASCULAR OF TUCSON LLC NPI 1255896544

NPI Information

NPI: 1255896544
Provider Name: MODERN VASCULAR OF TUCSON, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
2171 W ORANGE GROVE RD
TUCSON, AZ
ZIP 85741
Phone: (520) 201-4980
Get Directions

MODERN VASCULAR OF TUCSON, LLC is a vascular and interventional radiology radiology in Tucson, AZ. 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 OF TUCSON, LLC NPI is 1255896544. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2171 W ORANGE GROVE RD
TUCSON, AZ
ZIP 85741-118
Phone: (520) 201-4980

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 1/31/2019 and was last updated on 1/31/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology			Yes
2	2471V0106X	Radiologic Technologist	Vascular-Interventional Technology			No

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: 5/5/2024

NPI Synchronization or Removal

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