Organization · Type 2 NPI

Modern Vascular of Glendale, LLC

Vascular & Interventional Radiology Physician · Glendale, AZ

NPI number 1063947638 Active

Practice location

11851 N 51st Ave, Building G
Glendale, AZ 85304

Mailing address

26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed
Podiatrist 213E00000XNone listed

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

7 other providers at this address

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About NPI 1063947638

Modern Vascular of Glendale, LLC's National Provider Identifier is 1063947638, issued on Apr 20, 2017. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Glendale, AZ. The record was last updated on Jul 11, 2018.