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Organization
VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN
Active
Organization
VASCULAR INTERVENTIONAL & PAIN CLINIC-VIP CLINIC-VIP IMAGING CEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD SAMMAN MD (DIRECTOR/OWNER)
(502) 533-3919
Entity
Organization
Contact information
Practice address
3906 S DUPONT SQ STE A, LOUISVILLE, KY 40207
(502) 533-3919
(440) 332-3844
Mailing address
PO BOX 1328, PROSPECT, KY 40059-1328
(859) 393-3124
(440) 332-3844
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/02/2018
Last updated
08/23/2021
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