OrganizationActive
Modern Vascular of Memphis LLC
NPI 1811587132 · Vascular-Interventional Technology Radiologic Technologist · Memphis, TN
Provider details
- NPI number
- 1811587132
- Entity type
- Organization
- Primary specialty
- Vascular-Interventional Technology Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Yury Gampel, Manager
Practice location
5645 Murray Ave
Memphis, TN 38119-3831
Phone: (901) 633-1190
Fax: (901) 881-7979
Mailing address
26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.