Indianapolis Vascular Specialists Corp
Radiology, Vascular & Interventional Radiology in Indianapolis, IN. Organization (NPI-2).
NPI number1164037289
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1164037289
- Entity type
- Organization (NPI-2)
- Legal business name
- Indianapolis Vascular Specialists Corp
- Organization subpart
- No
- Enumeration date
- Sep 15, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – | Yes |
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology | – | – |
Practice location
8704 N Meridian StIndianapolis, IN 46260-2331
Phone 463-207-1430 · Fax 463-800-3385
Mailing address
26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952
Phone 818-880-8605
Authorized official
Yury Gampel
Manager
8182626423
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