ENDOVASCULAR CONSULTANTS, LLC NPI 1467995514

Radiology (Vascular & Interventional Radiology) in Wilmington, DE

About ENDOVASCULAR CONSULTANTS, LLC

Endovascular Consultants, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1467995514. The practitioner's primary taxonomy code is Radiology (2085R0204X). The provider is registered as an organization and their NPI record was last updated 2 years ago. Endovascular Consultants, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI	1467995514 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	ENDOVASCULAR CONSULTANTS, LLC
Provider Location Address	202 S ASHVIEW LN WILMINGTON, DE 19807 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	202 S ASHVIEW LN WILMINGTON, DE 19807 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	11-22-2016 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	11-22-2016 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	2085R0204X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Radiology
Type	Allopathic & Osteopathic Physicians
Specialization	Vascular & Interventional Radiology
License No.	C1-0004350
License State	DE
Taxonomy Description	A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Business Address

ENDOVASCULAR CONSULTANTS, LLC
202 S ASHVIEW LN
WILMINGTON, DE
ZIP 19807
Phone: (302) 275-1867

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Mailing Address

ENDOVASCULAR CONSULTANTS, LLC
202 S ASHVIEW LN
WILMINGTON, DE
ZIP 19807
Phone: (302) 275-1867

Authorized Official

Authorized Official Name	MARK GARCIA MD Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	OWNER
Authorized Official Phone	(302) 275-1867

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

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
1942260088	MEDICAID (05)	DE
C1-0004350	OTHER (01)	DE

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