Organization
INTERVENTIONAL, VASCULAR & DIAGNOSTIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV THAKUR MD (PRESIDENT)
(713) 795-4884
Entity
Organization
Contact information
Practice address
16 CRESTWOOD DR, HOUSTON, TX 77007-7007
(713) 795-4884
Mailing address
PO BOX 301103, HOUSTON, TX 77230-1103
(713) 795-4884
(713) 383-4470
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
K9433
TX
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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