Whalio Doctors

NPI 1285126706

Modern Vascular - Navajo LLC

Organisation Vascular & Interventional Radiology Physician Albuquerque, NM

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
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X
Interventional Cardiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RI0011X
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

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.