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Organization

INDIANAPOLIS VASCULAR SPECIALISTS CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YURY GAMPEL (MANAGER)
(818) 262-6423
Entity
Organization

Contact information

Practice address
8704 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2331
(463) 207-1430
(463) 800-3385
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(818) 880-8605

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2471V0106X
Vascular-Interventional Technology Radiologic Technologist

Other

Enumeration date
09/15/2020
Last updated
10/05/2020
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