NPI 1215433974

Vascular Interventional & Pain Clinic-Vip Clinic-Vip Imaging Cen

Organisation Vascular & Interventional Radiology Physician Louisville, KY

Practice location

Address: 3906 S Dupont Sq STE a, Louisville, KY 40207
Phone: (502) 533-3919
Fax: (440) 332-3844
Mailing address: PO Box 1328, Prospect, KY 40059-1328

Authorised official

Name: Mahmoud Samman
Title: Director/Owner
Phone: (502) 533-3919

Registered specialties (2)

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in Kentucky →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Other Nurse Practitioner providers in Kentucky →

Registry record

NPI: 1215433974
Entity type: Organization
NPI issued: 2 Apr 2018
Record last updated: 23 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.