1. Home
  2. Directory
  3. Connecticut
  4. Waterford
  5. Radiology
  6. NPI Profile

MODERN VEIN PROVIDERS, PLLC
NPI 1346010527
Radiology - Vascular & Interventional Radiology in Waterford, CT

Active since January 08, 2024
903 HARTFORD TPKE, WATERFORD, CT 06385(860) 574-3423(860) 222-9082 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Vein Providers, Pllc NPPES

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

MODERN VEIN PROVIDERS, PLLC (NPI 1346010527) is a healthcare organization registered as a vascular & interventional radiology in Waterford, Connecticut and active in the NPI registry since January 2024. The organization lists Jiyong Ahn, Doctor, as its authorized official.

NPPES Registry Identity

NPI1346010527
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMODERN VEIN PROVIDERS, PLLC
Location Address903 HARTFORD TPKEWaterford, CT 06385-4264
Mailing Address903 Hartford TpkeWaterford, CT 06385-4264 · (860) 574-3423 · Fax (860) 222-9082
Phone(860) 574-3423
Fax(860) 222-9082
Organization SubpartNo
Authorized OfficialJiyong AhnDoctor · (860) 574-3423
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1346010527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
903 HARTFORD TPKE, Waterford, CT 06385
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Vein Providers, PLLC's NPI number?

The NPI number for Modern Vein Providers, PLLC is 1346010527. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Modern Vein Providers, PLLC located?

Modern Vein Providers, PLLC is located at 903 Hartford Tpke, Waterford, CT 06385. The listed phone number is (860) 574-3423.

What is Modern Vein Providers, PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Modern Vein Providers, PLLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.