OrganizationActive
Modern Vascular Institute LLC
NPI 1619407442 · Vascular & Interventional Radiology Physician · Mesa, AZ
Provider details
- NPI number
- 1619407442
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yury Gampel, Owner(818) 880-8605
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Practice location
535 E Mckellips Rd Ste 115
Mesa, AZ 85203
Phone: (818) 262-6423
Approximate (ZIP-level) locationGet directions
Mailing address
26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.