Organization · Type 2 NPI
Modern Vascular Institute LLC
Vascular & Interventional Radiology Physician · Mesa, AZ
NPI number
1619407442
Active
Practice location
535 E Mckellips Rd Ste 115
Mesa, AZ 85203
Mailing address
26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Interventional Cardiology Physician | 207RI0011X | None listed |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | None listed |
| Podiatrist | 213E00000X | None 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.
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About NPI 1619407442
Modern Vascular Institute LLC's National Provider Identifier is 1619407442, issued on Jun 14, 2017. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Mesa, AZ. The record was last updated on Jul 11, 2018.