MODERN VASCULAR OF FAIRFAX, LLC
NPI 1821553108
Radiology - Vascular & Interventional Radiology in Fairfax, VA

Q: What is Modern Vascular Of Fairfax, LLC's NPI number?

The NPI number for Modern Vascular Of Fairfax, LLC is 1821553108. It was assigned to this organization in the NPPES registry on January 31, 2019.

Q: What is Modern Vascular Of Fairfax, LLC's specialty?

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

Active since January 31, 2019

2812 OLD LEE HWY STE 100B, FAIRFAX, VA 22031(571) 279-6849(571) 281-8697 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Modern Vascular Of Fairfax, Llc NPPES

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

MODERN VASCULAR OF FAIRFAX, LLC (NPI 1821553108) is a healthcare organization registered as a vascular & interventional radiology in Fairfax, Virginia and active in the NPI registry since January 2019. The organization lists Yury Gampel, Manager, as its authorized official.

NPPES Registry Identity

NPI1821553108

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameMODERN VASCULAR OF FAIRFAX, LLC

Location Address2812 OLD LEE HWY STE 100BFairfax, VA 22031-4315

Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605 · Fax (818) 579-7916

Phone(571) 279-6849

Fax(571) 281-8697

Organization SubpartNo

Authorized OfficialYury GampelManager · (818) 880-8605

Enumeration DateJanuary 31, 2019

✔ NPI 1821553108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedRadiologic Technologist · Vascular-Interventional TechnologyTaxonomy 2471V0106X

2812 OLD LEE HWY STE 100B, Fairfax, VA 22031

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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

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

WASHINGTON VASCULAR SPECIALISTS OF FAIRFAX

Clinic/Center (Ambulatory Surgical)

2812 OLD LEE HWY STE 100B
FAIRFAX, VA 22031

Fairfax County (703) 596-3800

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 Vascular Of Fairfax, LLC's NPI number?

The NPI number for Modern Vascular Of Fairfax, LLC is 1821553108. It was assigned to this organization in the NPPES registry on January 31, 2019.

Where is Modern Vascular Of Fairfax, LLC located?

Modern Vascular Of Fairfax, LLC is located at 2812 Old Lee Hwy Ste 100B, Fairfax, VA 22031. The listed phone number is (571) 279-6849.

What is Modern Vascular Of Fairfax, LLC'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 Vascular Of Fairfax, LLC was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.