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Interventional Vascular Institute Of San Jose, Llc
Vascular & Interventional Radiology Physician in San Jose, California
NPI 1194913897

Interventional Vascular Institute Of San Jose, Llc is a Vascular & Interventional Radiology Physician based in North Kingstown, CA and is specialized in Vascular & Interventional Radiology. Interventional Vascular Institute Of San Jose, Llc practices in San Jose, CA. The NPI Number for Interventional Vascular Institute Of San Jose, Llc is 1194913897 and holds a License No. G74857 (California).

The current practice location address for Interventional Vascular Institute Of San Jose, Llc is 105 N Bascom Ave, San Jose, CA and can be reached out via phone at 408-918-0405.

Location: 105 N Bascom Ave, San Jose, CA, 02852-4161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194913897
Provider Name
Interventional Vascular Institute Of San Jose, Llc
Credential
Provider Entity Type
Organization
Address
105 N Bascom Ave, San Jose, CA, 02852-4161
Phone Number
408-918-0405
Fax Number
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200710410237 01 CA LLC/LP
institution
Provider Business Practice Location Address Details
Address
105 N Bascom Ave
City
San Jose
State
California
Zip
95128-1811
Phone Number
408-918-0405
Fax Number
person
Provider Business Mailing Address Details
Address
105 N Bascom Ave
City
San Jose
State
California
Zip
95128-1811
Phone Number
408-918-0405
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
G74857 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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