NPI 1285126706
Modern Vascular - Navajo LLC
Practice location
- Address
- 7800 Constitution Ave NE, Albuquerque, NM 87110-7552
- Phone
- (505) 278-9160
- Fax
- (505) 278-9170
- Mailing address
- 26500 Agoura Rd STE 102-587, Calabasas, CA 91302-1952
Authorised official
- Name
- Yury Gampel
- Title
- Manager
- Phone
- (818) 880-8605
Registered specialties (5)
Vascular & Interventional Radiology Physician
Primary
Family Medicine Physician
Cardiovascular Disease Physician
Interventional Cardiology Physician
Podiatrist
Registry record
- NPI
- 1285126706
- Entity type
- Organization
- NPI issued
- 31 May 2018
- Record last updated
- 5 Apr 2019
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.