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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

NPI # 1285126706
LBN Legal business name MODERN VASCULAR - NAVAJO LLC
Authorized official YURY GAMPEL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2018
Last updated 04/05/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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