OrganizationActive
Modern Vascular of Denver, LLC
NPI 1184279804 · Vascular & Interventional Radiology Physician · Thornton, CO
Provider details
- NPI number
- 1184279804
- 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
Practice location
9441 Huron St
Thornton, CO 80260-5426
Phone: (720) 617-7333
Fax: (720) 627-8845
Approximate (ZIP-level) locationGet directions
Mailing address
26500 Agoura Rd Ste 201
Calabasas, CA 91302-3556
Registry dates
- Enumerated
- 2019-08-08
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.