National Provider Identifier Database

MODERN VASCULAR INSTITUTE LLC
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

MODERN VASCULAR INSTITUTE LLC
535 E MCKELLIPS RD STE 115
MESA, AZ85203
Phone: 818-262-6423
Fax:
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Cardiovascular Disease 207RC0000X
Family Medicine 207Q00000X
Interventional Cardiology 207RI0011X
Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MODERN VASCULAR INSTITUTE LLC

NPI Number 1619407442
Legal business name
LBN
MODERN VASCULAR INSTITUTE LLC
Authorized official YURY GAMPEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/14/2017
Last updated 07/11/2018 - About 8 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.

Reviews for MODERN VASCULAR INSTITUTE LLC

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