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Contact Information

MODERN VASCULAR - NAVAJO LLC
7800 CONSTITUTION AVE NE
ALBUQUERQUE, NM87110-7552
 Phone: 505-278-9160
 Fax: 505-278-9170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MODERN VASCULAR NAVAJO LLC · (Female)

NPI # 1285126706
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2018
Last updated 04/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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