Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modern Vascular - Navajo LLC

Organization Family Medicine Physician · NPI 1285126706

Modern Vascular - Navajo LLC is a Family Medicine Physician in Albuquerque, New Mexico. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7800 Constitution Ave NE
Albuquerque, NM 87110-7552
Phone: (505) 278-9160
Fax: (505) 278-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Highway 264 Ste B, Gallup, NM 87301 — (505) 310-6881

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1285126706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yury Gampel — Manager · (818) 880-8605
NPI enumeratedMay 31, 2018
Last updated in NPPESApril 5, 2019
Mailing address26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952

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