VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN – NPI #1215433974
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.

VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN is a radiologist located in LOUISVILLE, KY. NPPES has assigned the NPI number 1215433974 to VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN on April 02, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on Aug 23, 2021. 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 VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN below.

NPI Profile for
VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN

NPI Number
1215433974
Enumeration Date

(more than 8 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
VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN
Primary location
3906 S DUPONT SQ STE A
LOUISVILLE, KY 40207
Phone: (502) 533-3919 Fax: (440) 332-3844
1 Other location(s):
1813 State St Ste 200
New Albany, IN 47150-5966
Phone: (502) 358-5215
Fax: (502) 384-5372
Mailing address
PO BOX 1328
PROSPECT, KY 40059-1328
Phone: (859) 393-3124 Fax: (440) 332-3844
Organization Subpart
No
Authorized Official
MAHMOUD SAMMAN
DIRECTOR/OWNER
Phone: (502) 533-3919
Updated
Certification Date
Aug 23, 2021

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.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
363LF0000X
- Nurse Practitioner / Family

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.