Modern Vascular of St Louis LLC
Modern Vascular of St Louis LLC is a Vascular & Interventional Radiology Physician in Creve Coeur, Missouri. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
641 N New Ballas RdCreve Coeur, MO 63141-6713
Phone: (314) 648-0101
Fax: (314) 899-2715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|---|
| Vascular-Interventional Technology Radiologic Technologist | Taxonomy 2471V0106X |
Record details
| NPI number | 1972106391 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yury Gampel — Ceo · (818) 880-8605 |
| NPI enumerated | November 18, 2020 |
| Last updated in NPPES | November 18, 2020 |
| Certification date | November 18, 2020 |
| Mailing address | 26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952 |
Other providers in Creve Coeur
-
Dr. Ali Malik, MD
641 N New Ballas Rd, Creve Coeur, MO 63141-6713 · (585) 376-2545
-
Stl Interventional Oncology Interventional Radiology Clinics LLC
641 N New Ballas Rd, Creve Coeur, MO 63141-6713 · (314) 785-4647