# CENTER FOR INTERVENTIONAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VidaVascular
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760653448
- **Authorized official:** DR. MEGHAL R ANTANI MD (PRESIDENT)
- **Authorized official phone:** (866) 800-2346

## Contact information

- **Practice address:** 251 NATIONAL HARBOR BLVD STE 104, OXON HILL, MD 20745-1052
- **Practice address phone:** (866) 800-2346
- **Mailing address:** 251 NATIONAL HARBOR BLVD STE 104, OXON HILL, MD 20745-1052
- **Mailing address phone:** (866) 800-2346

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 10/19/2023