MODERN VASCULAR - NAVAJO LLC - NPI 1285126706 - Radiology in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

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About Modern Vascular - Navajo Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN VASCULAR - NAVAJO LLC (NPI 1285126706) is a healthcare organization registered as a vascular & interventional radiology in Albuquerque, New Mexico and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Gallup and lists Yury Gampel, Manager, as its authorized official.

NPPES Registry Identity

NPI1285126706

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameMODERN VASCULAR - NAVAJO LLC

Location Address7800 CONSTITUTION AVE NEAlbuquerque, NM 87110-7552

Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605 · Fax (818) 749-7616

Phone(505) 278-9160

Fax(505) 278-9170

Organization SubpartNo

Authorized OfficialYury GampelManager · (818) 880-8605

Enumeration DateMay 31, 2018

Last NPPES UpdateApril 5, 20192 updates tracked since enumeration

✔ NPI 1285126706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

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

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedPodiatristTaxonomy 213E00000X

7800 CONSTITUTION AVE NE, Albuquerque, NM 87110

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Secondary Practice Location 1

Location 11580 Highway 264 Ste BGallup, NM 87301 · Phone (505) 310-6881 · Fax (505) 310-6882

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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