Organization · Type 2 NPI

Interventional Vascular Institute of San Jose, LLC

Vascular & Interventional Radiology Physician · San Jose, CA

NPI number 1194913897 Active

Practice location

105 N Bascom Ave
San Jose, CA 95128-1811

Mailing address

1130 Ten Rod Rd, D201
North Kingstown, RI 02852-4161

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XG74857 (CA)

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.

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About NPI 1194913897

Interventional Vascular Institute of San Jose, LLC's National Provider Identifier is 1194913897, issued on Oct 9, 2007. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in San Jose, CA. The record was last updated on Oct 9, 2007.