Organization · Type 2 NPI

Vidavascular Southern Maryland LLC

Vascular & Interventional Radiology Physician · White Plains, MD

NPI number 1639090053 Active

Practice location

4255 Altamont Pl Ste 101
White Plains, MD 20695-3066

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XNone 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 1639090053

Vidavascular Southern Maryland LLC's National Provider Identifier is 1639090053, issued on Jul 22, 2026. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in White Plains, MD. The record was last updated on Jul 22, 2026.