DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODERN VASCULAR OF SOUTHAVEN, LLC

Active Organization

MODERN VASCULAR OF SOUTHAVEN, LLC is a Therapeutic Radiology organization located in SOUTHAVEN, Mississippi. NPI 1174171441 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · SOUTHAVEN, MS

Registration Details

NPI Number
1174171441
Provider Type
Organization
NPI Issued
Aug 29, 2019 (6.9680011994522 yrs)
Last Updated
Aug 29, 2019

Practice Information

Address
55 PHYSICIANS LN
SOUTHAVEN, MS, 386719569
Browse MS providers · Browse ZIP 38671
Phone
6626552136
Fax
6629962214
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Organizations in SOUTHAVEN, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.