OrganizationActive
Prescott Interventional Radiology LLC
NPI 1457314825 · Vascular & Interventional Radiology Physician · Prescott, AZ
Provider details
- NPI number
- 1457314825
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohamed Kirdani, President Owner(928) 443-0077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
980 Willow Creek Rd
Prescott, AZ 86301-1611
Phone: (928) 443-0077
Fax: (928) 443-0019
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27340
Phoenix, AZ 85061-7340
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.