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NPI Profile for MODERN VASCULAR INSTITUTE LLC in MESA, AZ.
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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 |
| NPI Number | 1619407442 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/14/2017 | |
| Last updated | 07/11/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MODERN VASCULAR INSTITUTE LLC
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| AKOS LIVE 1902 W. MAIN STREET MESA, AZ |
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| RAMONA B WOODRIFFE, MD 4824 E BASELINE RD MESA, AZ |
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| MUSAB S HOMMOS, M.B., B.S. 13400 E SHEA BLVD SCOTTSDALE, AZ |
| MICHAEL E KILLIAN, MD MAYO CLINIC 13400 E SHEA BLVD SCOTTSDALE, AZ |
MODERN VASCULAR INSTITUTE LLC