MODERN VASCULAR – NPI #1093371163
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

MODERN VASCULAR is a radiologist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1093371163 to MODERN VASCULAR on May 14, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MODERN VASCULAR” is a dba name, the actual legal business name for this organization is SAN ANTONIO VASCULAR SPECIALISTS CORP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 6 years ago on Oct 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN VASCULAR below.

NPI Profile for
SAN ANTONIO VASCULAR SPECIALISTS CORP

NPI Number
1093371163
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN ANTONIO VASCULAR SPECIALISTS CORP
Doing Business As (dba): MODERN VASCULAR
Primary location
9819 HUEBNER RD BLDG 4
SAN ANTONIO, TX 78240-3253
Phone: (210) 761-8775 Fax: (210) 519-0216
1 Other location(s):
718 Lexington Ave
San Antonio, TX 78212-4768
Phone: (210) 640-7909
Fax: (210) 907-7800
Mailing address
26500 AGOURA RD STE 102-587
CALABASAS, CA 91302-1952
Phone: (818) 880-8605 Fax:
Organization Subpart
No
Authorized Official
YURY GAMPEL
MANAGER
Phone: (818) 262-6423
Updated
Certification Date
Oct 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.