# MIDWEST VASCULAR INSTITUTE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366970162
- **Authorized official:** DR. AMIEL MOSHFEGH MD (PRESIDENT)
- **Authorized official phone:** (866) 512-6992

## Contact information

- **Practice address:** 3405 6TH ST, BROOKINGS, SD 57006-4417
- **Practice address phone:** (866) 512-6992
- **Practice address fax:** (760) 300-3576
- **Mailing address:** 3405 6TH ST, BROOKINGS, SD 57006-4417
- **Mailing address phone:** (866) 512-6992
- **Mailing address fax:** (760) 300-3576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 10372 | SD | Yes |

## Other

- **Enumeration date:** 05/24/2017
- **Last updated:** 07/21/2022