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ENDOVASCULAR
NPI 1972221182
Surgery in Gallup, NM

Active since August 15, 2022
2240 COLLEGE DR, GALLUP, NM 87301(505) 297-1052(505) 297-1227 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2022, Aug 15, 2022 (2 updates tracked since 2022).

About Endovascular NPPES

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

ENDOVASCULAR (NPI 1972221182) is a healthcare organization registered as a surgery in Gallup, New Mexico and active in the NPI registry since August 2022. The organization lists Kiup Alexander Kim, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1972221182
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameENDOVASCULAR
Location Address2240 COLLEGE DRGallup, NM 87301-7003
Mailing Address202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · (480) 788-5621 · Fax (480) 779-1277
Phone(505) 297-1052
Fax(505) 297-1227
Organization SubpartNo
Authorized OfficialKiup Alexander KimChief Medical Officer · (480) 584-2369
Enumeration DateAugust 15, 2022
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1972221182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
2240 COLLEGE DR, Gallup, NM 87301
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Other Names 1

Other NameEndovascular

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

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 Endovascular's NPI number?

The NPI number for Endovascular is 1972221182. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Endovascular located?

Endovascular is located at 2240 College Dr, Gallup, NM 87301. The listed phone number is (505) 297-1052.

What is Endovascular's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Endovascular was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.