MODERN VASCULAR OF FAIRFAX, LLC – NPI #1821553108
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 OF FAIRFAX, LLC is a radiologist located in FAIRFAX, VA. NPPES has assigned the NPI number 1821553108 to MODERN VASCULAR OF FAIRFAX, LLC on January 31, 2019. 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

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 OF FAIRFAX, LLC below.

NPI Profile for
MODERN VASCULAR OF FAIRFAX, LLC

NPI Number
1821553108
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
MODERN VASCULAR OF FAIRFAX, LLC
Primary location
2812 OLD LEE HWY STE 100B
FAIRFAX, VA 22031-4315
Phone: (571) 279-6849 Fax: (571) 281-8697
Mailing address
26500 AGOURA RD STE 102-587
CALABASAS, CA 91302-1952
Phone: (818) 880-8605 Fax: (818) 579-7916
Organization Subpart
No
Authorized Official
YURY GAMPEL
MANAGER
Phone: (818) 880-8605
Updated
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.