Modern Vascular of Southaven, LLC
NPI 1174171441 · Vascular & Interventional Radiology Physician · Southaven, MS
Modern Vascular of Southaven, LLC is a Vascular & Interventional Radiology Physician organization in Southaven, MS (NPI 1174171441).
Provider details
- NPI number
- 1174171441
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yury Gampel, Manager(818) 880-8605
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2019-08-29
Frequently asked questions
- What is Modern Vascular of Southaven, LLC's NPI number?
- Modern Vascular of Southaven, LLC's National Provider Identifier (NPI) is 1174171441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Vascular of Southaven, LLC?
- Modern Vascular of Southaven, LLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Vascular of Southaven, LLC located?
- Modern Vascular of Southaven, LLC's practice location on file with NPPES is 55 Physicians Ln, Southaven, MS 38671-9569.
- What is Modern Vascular of Southaven, LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Vascular of Southaven, LLC is (662) 655-2136.
- Who is the authorized official for Modern Vascular of Southaven, LLC?
- The authorized official listed on Modern Vascular of Southaven, LLC's NPPES record is Yury Gampel, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Vascular of Southaven, LLC's NPI active?
- Yes — Modern Vascular of Southaven, LLC's NPI (1174171441) is active in the NPPES registry as of the last update on 2019-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.