OrganizationActive
Innovative Vascular and Therapeutics, PLLC
NPI 1386291664 · Vascular & Interventional Radiology Physician · Oak Park, IL
Provider details
- NPI number
- 1386291664
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Malwinder Singha, President(401) 575-0308
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1515 N Harlem Ave Ste 100
Oak Park, IL 60302-1205
Phone: (401) 575-0308
Fax: (562) 548-7540
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 379
Pasadena, CA 91102-0379
Registry dates
- Enumerated
- 2019-08-21
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.