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 | |
|---|---|---|
| * | Vascular & Interventional Radiology | 2085R0204X |
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X |
* Indicates primary specialty
| NPI Number | 1174171441 |
| Legal business name LBN |
MODERN VASCULAR OF SOUTHAVEN, LLC |
| Authorized official | YURY GAMPEL - (MANAGER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/29/2019 |
| Last updated | 08/29/2019 - About 7 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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